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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200118
Report Date: 05/15/2023
Date Signed: 05/15/2023 11:56:44 AM

Document Has Been Signed on 05/15/2023 11:56 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:GEORGE MILLER CENTER - CONCORDFACILITY NUMBER:
079200118
ADMINISTRATOR:GMCC-AC@VISTABILITY.ORGFACILITY TYPE:
775
ADDRESS:3020 GRANT STREETTELEPHONE:
(925) 646-5710
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 100CENSUS: 23DATE:
05/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Gay Paris Arndt, Program Coordinator
Niurka S. Jackson, Instructional Aide
Nancy Martinez, Instructional Aide
TIME COMPLETED:
12:15 PM
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On 5/15/2023 at 9:30 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to Required 1 Year Annual inspection. LPA met with Program Director, Gay Paris and explained the purpose of the visit. Day program operates from 8:00 AM - 4:00 PM.

LPA toured facility with Gay, Niurka and Nancy including but not limited to, multiple activity rooms, kitchen, bathrooms, office space, and the outside recreational area. LPA observed sufficient furniture and lighting throughout the facility. Clients bring their own lunches and snacks. Emergency supplies, including water were observed. Cleaning supplies are locked and inaccessible to clients. Medications are not handled/dispensed by this program. There are no bodies of water. Comfortable temperature was maintained at 73 degrees Fahrenheit inside the facility. Restrooms were observed clean and sanitary. The hot water temperature in the client bathroom measured 109/110 degrees Fahrenheit. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 7 vans used for client outings. Emergency/Disaster drills are conducted monthly. Fire extinguishers throughout facility were last inspected 3/31/2023. First aid kits were complete.


No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Paris Watson
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2023
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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