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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 071440493
Report Date: 01/30/2025
Date Signed: 01/30/2025 04:41:02 PM

Document Has Been Signed on 01/30/2025 04:41 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:NURTURING INDEPENDENCE THROUGH ARTISTICDEVELOPMENTFACILITY NUMBER:
071440493
ADMINISTRATOR/
DIRECTOR:		EICHER, AMANDAFACILITY TYPE:
775
ADDRESS:551 23RD STREETTELEPHONE:
(510) 620-0290
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY: 80CENSUS: DATE:
01/30/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Ingrid Alonso-Rodriguez, Administrative Director
Ember Avalos, Community Programs Director		TIME VISIT/
INSPECTION COMPLETED:
04:30 PM
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On 01/30/2025 around 02:00 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct an required Annual Inspection, LPA was greeted by one staff upon entry and explained the purpose of the visit. Ingrid Alonso-Rodriguez, Administrative Director Staff #1 (S1) and Ember Avalos, Community Programs Director Staff #2 (S2) were both available to assist.

LPA and S1 toured the facility and LPA observed a visitor sign-in log and sanitizer, and clients with PPE mask to prevent infection. The facility was active with lcients using several stations while socializing. There is a surplus of PPE centrally located inside the facility and Contra Costa County assists with testing. LPA observed hand washing and COVID-19 signs posted. All hand washing stations were equipped with soap, paper towels, and LPA advised S1 to place covered garbage cans in the shared areas. Passage ways were well lit and free of obstruction. Hot water temperature at the shared kitchen sink measured at 110.8 degrees Fahrenheit (F). Four (4) fire extinguishers were last inspected 02/14/2024 and was observed. The Smoke/Carbon Monoxide detectors were observed operational. Emergency disaster drill last completed 12/30/24 Two (2) first aid kits; One (1) first aid kit is complete.

The following forms are to be updated and submitted to CCLD:
-LIC500 Personnel Report
-LIC308 Designation of Administrative Responsibility
-LIC610 Emergency Disaster Plan (Reviewed)
-An updated copy of Administrator Certificate(s)

Exit interview conducted and a copy of this report provided to S1.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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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