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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079201349
Report Date: 10/16/2024
Date Signed: 10/16/2024 05:19:18 PM

Document Has Been Signed on 10/16/2024 05:19 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
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:CATALYST CARES ADULT DAY PROGRAMFACILITY NUMBER:
079201349
ADMINISTRATOR/
DIRECTOR:		FREEMAN, MAVISFACILITY TYPE:
775
ADDRESS:3905 SAN PABLO DAM ROADTELEPHONE:
(510) 390-5538
CITY:EL SOBRANTESTATE: CAZIP CODE:
94803
CAPACITY: 60CENSUS: 14DATE:
10/16/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Mavis Freeman, CEO/Administrator TIME VISIT/
INSPECTION COMPLETED:
05:45 PM
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On 10/16/24 around 03:35 PM L. Holmes, Licensing Program Analyst (LPA) arrived unannounced to conduct a post-licensing inspection. LPA met with Mavis Freeman, CEO/Administrator (ADM) and explained the purpose of the visit. Currently the facility is in full operation.

LPA and ADM toured the facility including but not limited to the receptionist area, exercise room, and the game room that offers a WII gaming system, stationary exercise bikes, light weights and an area to relax. The conference room still serves as a retreat for clients and for staff to meet. LPA observed infection control compliancy with covered garbage cans, PPE, hand sanitizer, and linens. There is a separate room with a washer and dryer that offers an alternate space to provide bedding if isolation is needed. The facility also offers a zen room with pedicure care, a multimedia room, swings, basketball, boxing bags and a variety of board games. The facility has adequate lighting throughout. The FAME area still offers karaoke, a 360 photo carousel and provides props to dress-up to take and print photos. Crafts for Breast Cancer Awareness, rock painting, planter boxes, and drawings were on display.

Indoor and outdoor passageways were observed free of obstruction. There were no bodies of water observed. LPA observed the water at 107.7 degrees F and room temperature at 71 degrees F. A 30-day emergency food supply of non-perishable foods, and portable gas stove remains in place. The facility has separate bathrooms for men and women with grab-bars, non-skid floors and the entire facility is wheelchair accessible. The facility has flashlights available for emergency use. First-aid kits remain complete, and smoke and carbon monoxide detectors were operational. Fire extinguishers observed full. Emergency Disaster plans/contact information, personal rights and hand-washing signs are posted in the facility, and the facility is using an online program for electronic files to reduce paper and waste.

Exit interview conducted and a copy of this report provided to ADM.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2024
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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