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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200615
Report Date: 08/17/2023
Date Signed: 08/17/2023 12:58:39 PM

Document Has Been Signed on 08/17/2023 12:58 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:OPEN HOUSE CENTERFACILITY NUMBER:
079200615
ADMINISTRATOR:LOUISE MCCLELLANFACILITY TYPE:
775
ADDRESS:2600 STANWELL DRIVETELEPHONE:
(925) 349-4244
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 40CENSUS: 20DATE:
08/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Louise McClellan, Clinical DirectorTIME COMPLETED:
01:10 PM
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On 08/17/2023 at 9:25 AM, Licensing Program Analyst (LPA) P. Watson arrived unannounced to Required 1 Year Annual inspection. LPA met with Clinical Director, Louise McClellan and explained the purpose of the visit. Day program operates from 9:00 AM - 2:00 PM.

LPA toured facility with Louise including but not limited to, activity space, kitchen area, bathrooms and office spaces. LPA observed sufficient furniture and lighting throughout the facility. Clients bring their own lunches and snacks. Emergency supplies were observed. Medications are handled/dispensed by this program. Cleaning supplies and medications are locked and inaccessible to clients. Comfortable temperature was maintained at 73 degrees Fahrenheit inside the facility. Restrooms were observed clean and sanitary. The hot water temperature in the client bathrooms measured 113.6, 112.4 and 112.4 degrees Fahrenheit. Incontinent clients are kept clean and dry, and the facility is free of odors. The program has 1 van used for client outings and transport. Emergency disaster drill was last conducted 06/14/2023. Fire drill was last conducted 08/08/2023. Fire extinguishers throughout facility were observed. First aid kit was complete.

At 10:30 AM, LPA reviewed 8 of 20 client records. At 9:45 AM, LPA reviewed 8 of 15 staff records and 8 of 8 staff have first aid training and associated to the facility.

The following forms to be updated and submitted to CCL by 09/07/2023:
LIC 308 Designation of Administrative Responsibility
LIC 309 Administrative Organization
LIC 610 Emergency Disaster Plan


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: 08/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/17/2023
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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