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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 011441112
Report Date: 07/20/2022
Date Signed: 07/20/2022 12:52:16 PM

Document Has Been Signed on 07/20/2022 12:52 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:ABILITY NOW BAY AREA, INC.FACILITY NUMBER:
011441112
ADMINISTRATOR:DECOSTE, MAUREENFACILITY TYPE:
775
ADDRESS:4500 LINCOLN AVENUETELEPHONE:
(510) 531-3323
CITY:OAKLANDSTATE: CAZIP CODE:
94602
CAPACITY: 100CENSUS: 18DATE:
07/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Maureen Decoste, AdministratorTIME COMPLETED:
01:10 PM
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On 7/20/2022 at 11:30 am, Licensing Program Analyst (LPA) Catherine Lin arrived unannounced to conduct an infection control inspection. LPA met with the administrator, Maureen Decoste and Quality Assurance Director, Mara Bearse and informed the purpose of the visit.

Upon entry, LPA’s temperature was checked by the staff and requested to wipe hands with alcohol wipes. LPA toured the facility including but not limited to lobby, storeroom, classrooms, activity rooms, common areas, kitchen, backyard, dining area, and bathrooms. Bathrooms were observed with step-on trash bins with lids, liquid soap, paper tower, and hand-washing signs.

COVID-19 postings were observed in common areas and hallways. Facility has hand sanitizer, masks, and gloves available by the entrance door. Facility has a 30-day supply of PPEs maintained at central location and easily accessible for staff. Staff screens participants and visitors prior to allowing entry. Facility has visitor's log. Facility has a copy of Mitigation Plan, Infection Control Plan, Emergency Disaster Plan, and Clients Roster on file, and maintains record of routine screening for participants and visitors.

No deficiency cited during visit. Exit interview conducted with Administrator, and a copy of this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Catherine Lin
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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