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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200104
Report Date: 10/28/2024
Date Signed: 12/04/2024 08:27:33 PM

Document Has Been Signed on 12/04/2024 08:27 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:GEORGE MILLER CENTER - RICHMONDFACILITY NUMBER:
079200104
ADMINISTRATOR/
DIRECTOR:		CAROL ANNE MCCRARYFACILITY TYPE:
775
ADDRESS:2801 ROBERT H. MILLER DRIVETELEPHONE:
(510) 222-8266
CITY:RICHMONDSTATE: CAZIP CODE:
94806
CAPACITY: 100CENSUS: 37DATE:
10/28/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:34 AM
MET WITH:Aimee Vitug-Hom AdministratorTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 10/28/2024 at 9:30am, Licensing Program Analysts (LPAs) Carol Fowler and David Doidge arrived unannounced to conduct an Annual 1-year required inspection. LPAs met with Aimee Vitug-Hom Administrator, and explained the reason for the visit.

LPAs inspected the facility with Program Coordinator, which included but not limited to the bathrooms, kitchen, common areas, and the outside area of the facility. LPAs observed the facility to be free of odor, clean and in good repair. Outdoor space is provided and is free of hazards. There is a comfortable room temperature of 70 degrees Fahrenheit for clients in care. Clients bring their own lunches and snacks to facility. The hot water temperature in the shared bathroom measured 108 degrees. All observed toilets and hand washing stations are maintained in a safe, sanitary, operating condition. There are no bodies of water or fire safety hazards observed. Carbon monoxide and smoke fire alarms found to be in working order. Toxins and sharp objects were locked and inaccessible to participants. Fire extinguisher last services 10/20/2024. Fire drills are conducted once a month, last 10/17/2024. First aid kit was checked and is complete.

LPAs reviewed five (5) staff files and five (5) resident files. All were current and complete.

No deficiencies were cited during this inspection.


Exit interview conducted and a copy of this report provided..
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2024
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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