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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200383
Report Date: 05/15/2023
Date Signed: 05/15/2023 02:04:07 PM

Document Has Been Signed on 05/15/2023 02:04 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
E BAY DELTA AC/SC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:SVS CONCORD ADULT DAY PROGRAMFACILITY NUMBER:
079200383
ADMINISTRATOR:SHAVILA WRIGHTFACILITY TYPE:
775
ADDRESS:2300 STANWELL DRIVE SUITE BTELEPHONE:
(925) 849-8750
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 60CENSUS: 36DATE:
05/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Shanay McDonald, Program DirectorTIME COMPLETED:
02:15 PM
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On 5/15/2023 at 12:20 PM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to Required 1 Year Annual inspection. LPA met with Program Director, Shanay McDonald and explained the purpose of the visit. Day program operates from 7:30 AM - 3:30 PM.

LPA toured facility with Shanay including but not limited to, multiple activity rooms, kitchen, bathrooms, and office space. 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 115 degrees Fahrenheit. Incontinent clients are kept clean and dry, and the facility is free of odors. Emergency/Disaster drills are conducted monthly. Fire extinguishers throughout facility were last inspected 10/25/2022. 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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