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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200118
Report Date: 03/21/2024
Date Signed: 03/21/2024 11:30:41 AM

Document Has Been Signed on 03/21/2024 11:30 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
CCLD Regional Office, 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: 70DATE:
03/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Carmen Palacios, Administrator
Gay Paris Arndt, Administrator		TIME COMPLETED:
11:45 AM
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On 03/21/24 at 09:00 am Licensing Program Analysts (LPA) J. Clancy-Czuleger arrived unannounced to do an annual inspection. LPA meet with Administrators Carmen Palacios and Gay Paris Arndt, and explained the purpose of the visit.

LPA inspected the facility inside out. There is no body of water. Physical plant is consistent with the facility sketch received by Central Application Bureau (CAB) and approved by the fire department. LPA inspected the activity spaces, offices, med rooms, computer rooms, kitchens, bathrooms, and sensory room. There is a comfortable room temperature of 70 degrees Fahrenheit for clients in care. Clients bring their own lunches and snacks but emergency supplies, including water were observed. Centrally stored medications, toxins and sharp objects were locked and inaccessible to participants. Activity supplies were available. Outdoor activity space was observed furnished with tables, chairs and shade. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 7 vans used for client outings. The facility has a mitigation plan. Fire extinguishers were observed fully charge and tags showed serviced 03/31/2023.

At 09:50 am LPA reviewed 10 residents records. At 10:45 am, LPA reviewed 6 staff records and 6 of 6 were fingerprint cleared and associated to the facility.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.
SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2024
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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