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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200984
Report Date: 12/22/2022
Date Signed: 12/22/2022 12:59:35 PM

Document Has Been Signed on 12/22/2022 12:59 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:FUTURES EXPLORED, INC.FACILITY NUMBER:
079200984
ADMINISTRATOR:HACKETT, HEATHERFACILITY TYPE:
775
ADDRESS:1140 GALAXY WAY, STE 180TELEPHONE:
(925) 284-3240
CITY:CONCORDSTATE: CAZIP CODE:
94520
CAPACITY: 30CENSUS: 5DATE:
12/22/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Scott Brooks, Program CoordinatorTIME COMPLETED:
01:15 PM
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On 12/22/2022 at 12:15 PM , Licensing Program Analyst (LPA) P. Watson arrived unannounced to conduct an Infection Control Inspection. LPA met with Program Coordinator, Scott Brooks and explained the purpose of the visit.

Upon entry, LPA observed that day program was conducting in-person services. There were 5 clients receiving services today. LPA toured facility including but not limited to common areas, bathrooms, and kitchen. A sign-in policy, thermometer and hand sanitizer were observed at screening station. Cough/sneeze etiquette, social distancing and hand washing posters were observed. Hand washing stations were equipped with liquid soap, paper towels and trash bins. Facility staff were observed to be wearing proper PPE. Facility has a sufficient supply of PPEs maintained at central location and easily accessible for staff. Facility has a mitigation plan and maintains record of routine screening for clients, staff and visitors. First Aid kits were observed complete. Fire extinguisher was observed serviced. LPA observed facility passages free of obstruction.

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: 12/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/22/2022
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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