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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 015600176
Report Date: 06/21/2024
Date Signed: 06/21/2024 02:00:13 PM

Document Has Been Signed on 06/21/2024 02:00 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
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:COMMUNITY DAY PROGRAM, INC.FACILITY NUMBER:
015600176
ADMINISTRATOR/
DIRECTOR:
SAROJINI, MISHRAFACILITY TYPE:
775
ADDRESS:44250 OLD WARM SPRINGSTELEPHONE:
(510) 445-1227
CITY:FREMONTSTATE: CAZIP CODE:
94538
CAPACITY: 51CENSUS: 33DATE:
06/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Program Director, Elizabeth De La TorreTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
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On 6/21/2024 at 12:45PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Program Director, Elizabeth De La Torre and explained the purpose of the visit. Day program operates from 7:00AM to 4:00PM. There were 8 staff observed working with the 28 clients here today.

LPA toured facility with Program Director including but not limited to, multiple activity rooms, kitchen, bathrooms, and office space. Clients bring their own lunches and snacks. Emergency supplies, including water were observed. The hot water temperature in the client bathroom measured 108.1 degrees Fahrenheit. Cleaning supplies are locked and inaccessible to clients. Medications are not handled/dispensed by this program. There are no bodies of water or fire safety hazards observed. Restrooms are maintained in safe and in sanitary operating condition, and additional equipment for the physically handicapped was observed. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 4 vans used for client outings, and the 3 that were on the premises were observed to be clean. Van maintenance logs were reviewed. Reviewed client and staff files for sampling. Emergency disaster drills are conducted on a monthly basis at different times by each instructor. Fire extinguishers throughout facility were last inspected 9/13/2023. First aid kit was checked. Emergency disaster plan up to date.


No deficiencies cited during visit. Exit interview conducted and a copy of this report provided
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Alona Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/21/2024
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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