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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 107206573
Report Date: 05/23/2024
Date Signed: 05/23/2024 11:38:45 AM

Document Has Been Signed on 05/23/2024 11:38 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
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:TRAINING AND LEARNING CENTERFACILITY NUMBER:
107206573
ADMINISTRATOR/
DIRECTOR:
NUTTER, LEAHFACILITY TYPE:
775
ADDRESS:140 N. CLOVISTELEPHONE:
(559) 322-9305
CITY:CLOVISSTATE: CAZIP CODE:
93612
CAPACITY: 36CENSUS: 30DATE:
05/23/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:04 AM
MET WITH:Andrea Rengstorf, RN/OwnerTIME VISIT/
INSPECTION COMPLETED:
11:43 AM
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Licensing Program Analyst L. Padgett (LPA) arrived unannounced to conduct the Annual Inspection. LPA met with and explained the purpose of the visit with (AR) Andrea Rengstorf ,RN/Owner.

During this visit, LPA toured the Day Program with AR. Program Participants arrived later and were observed engaged in group activities. The day program grounds are clean and in good repair.
Facility has one large activity room that is set up to accommodate 4 activity stations.
LPA observed the sensory room, AR explained this room can accommodate 4 clients at a time and had floor mat various sensory activities.

LPA toured the kitchenette which has a stove, dishwasher and refrigerator. AR explained that the refrigerator is used for drinks, special food items. Clients bring their own lunches with ice pack and are not stored in this refrigerator. Staff was making a prune mix which some clients eat as a snack. Extra supply of disposable cups and utensils was observed. Knives are stored in locked drawer. Sink water temp was observed to be at 112.1

LPA toured smaller activity room which contained art supplies, table and 2 chairs and a TV.

Hygiene room is where client personal care is conducted. LPA observed individualized bins with each clients name on it which contained change of clothes and incontinence products. Two changing tables observed with optional side rails and mobile privacy curtains.

There are two client bathrooms. LPA observed the bathrooms to be clean and in good condition. Water temperature was measured at 115.9 and 116.1. LPA observed paper towels and hand soap accessible to clients.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Lissett Padgett
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: TRAINING AND LEARNING CENTER
FACILITY NUMBER: 107206573
VISIT DATE: 05/23/2024
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Client medication is locked and stored in the medication room. LPA observed client medications are stored in individual labels bins. LPA observed first aid kit to contain the required items.
Laundry room has washer and dryer and is kept locked as this room also stores the disinfectants and cleaning supplies.
Outdoor area is a covered patio with 4 tables and two porch swings. Area was observed to be clean and well maintained.

Doors and passageways are unobstructed throughout the program. Fire Extinguishers is dated 4/25/2023. Smoke/fire alarms were tested on 4/25/2024 by Rain Guard Fire Protection Inc. Carbon Monoxide detector in the kitchen was tested and is functioning.

Last disaster drill was conducted on 1/24/2024. LPA conducted client and staff file reviews and interviews. Medication and Centrally Stored logs were reviewed.

There were no citations issued during this inspection.

An exit interview was conducted and a copy of this report was provided to AR whose signature confirms receipt.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Lissett Padgett
LICENSING EVALUATOR SIGNATURE:

DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2024
LIC809 (FAS) - (06/04)
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