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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206573
Report Date: 05/31/2022
Date Signed: 06/02/2022 10:31:00 AM

Document Has Been Signed on 06/02/2022 10:31 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, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:TRAINING AND LEARNING CENTERFACILITY NUMBER:
107206573
ADMINISTRATOR:NUTTER, LEAHFACILITY TYPE:
775
ADDRESS:140 N. CLOVISTELEPHONE:
(559) 322-9305
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY: 36CENSUS: 19DATE:
05/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:03 AM
MET WITH:TIME COMPLETED:
11:49 AM
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On 05/31/22, Licensing Program Analyst, M. Garza arrived at the facility unannounced to conduct the required Infection Control Inspection. LPA was greeted by Adult Day Program Manager, Christina Aguilar.

LPA observed a central entry point with a supply of hand sanitizer and a sign in policy that includes documented routine symptom screening for clients, staff and visitors.

Mitigation plan was submitted and reviewed. COVID-19 procedures described in the plan include required postings, symptoms screenings (for staff, persons in care and visitors), testing, quarantine/isolation cohorts, infection control plan to include donning and doffing of Personal Protective Equipment. Staffing and sick leave plans are in place for emergency staffing and/or PPE shortages.

LPA toured the facility inside and out. Required postings of signs observed throughout the facility. Staff were all observed wearing face coverings. Covered trash bins were observed. LPA observed a 30 day supply of PPE. Sinks are well stocked and liquid soap for hand washing and paper towels for hand drying were observed.

Through LPA observation of documentation and interview with staff, the required infection control practices are found to be in compliance. A Technical Violation was given on Buildings and Grounds.

A copy of this report was given. An exit interview completed.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Mary Garza
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2022
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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