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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 125000990
Report Date: 09/25/2023
Date Signed: 09/25/2023 01:04:56 PM

Document Has Been Signed on 09/25/2023 01:04 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:HCAR - THE STUDIOFACILITY NUMBER:
125000990
ADMINISTRATOR:KIM NASHFACILITY TYPE:
775
ADDRESS:139 THIRD STREETTELEPHONE:
(707) 443-1428
CITY:EUREKASTATE: CAZIP CODE:
95501
CAPACITY: 30CENSUS: 10DATE:
09/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Pete CostellanoTIME COMPLETED:
01:15 PM
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At approximately 10:45AM, Licensing Program Analyst (LPA) Chris Arnhold arrived unannounced at this Licensed Day Program to conduct an Annual Required Inspection. LPA met with Studio Manager Pete Castellano and toured the facility. This Day Program operates Monday -Friday. There were 10 Clients and 6 Staff present at the time of this inspection. The facility consists of offices, three large activity rooms, a quiet room, a kitchen, and two bathrooms. LPA observed the facility was a comfortable temperature and found all exits and walkways to be unobstructed. The facility grounds were also kept clean and without hazards. Clients bring lunches and snacks are available for clients.
Toxins are centrally stored in a locked closet. Water temperature measured within regulation between 105 and 120 degrees at faucets accessible to clients. Client money is not handled by facility. Day Program staff do not dispense medication. Clients do crafts, paintings and clay work which enables clients a chance to interact with community and make money. At approximately 11:30AM, LPA reviewed 5 of 10 client files and found files to be thorough and contain current client care assessments and individualized Service Plans. Staff records were also found to be current, including staff first aid and CPR training verification. Disaster drills are conducted monthly.

No citations issued during this visit.

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2023
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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