134601955-3-21-2025-08-AS-CLOZ-DEYT9K-20250321143205

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 134601955
Report Date: 03/21/2025
Date Signed: 03/21/2025 02:33:06 PM

Document Has Been Signed on 03/21/2025 02:33 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME:	ARC IV DEVELOPMENT CENTER		FACILITY NUMBER:	134601955
ADMINISTRATOR/ DIRECTOR:	MARIA NEGRETE		FACILITY TYPE:	775
ADDRESS:	298 E. ROSS AVE		TELEPHONE:	(760) 353-7440
CITY:	EL CENTRO	STATE: CA	ZIP CODE:	92244
CAPACITY: 85		CENSUS: 47	DATE:	03/21/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:55 AM
MET WITH:	Vanisha Garcia, Director of Day Programs, and Sherri Gutierre, Day Program Supervisor		TIME VISIT/ INSPECTION COMPLETED:	02:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced required Annual Inspection. The program file was reviewed prior to the visit. LPA Lopez identified herself, was granted entry by receptionist Jasmine Ortega. LPA discussed the purpose of the visit with Vanisha Garcia, Director of Day Programs, and Sherri Gutierrez, Day Program Supervisor, who was met at a program area. According to the Day Program's license, there may be a maximum of 85 clients all of whom may be ambulatory and 10 of whom may be non-ambulatory in at any given time at the program site. During today’s inspection, the facility’s current census is 47 clients attending the day program. There were 47 clients present at the facility site during the inspection. LPA, accompanied by Day Program Director Garcia and Day Program Supervisor Gutierrez, toured the interior and exterior of the programs, and inspected both rooms. The programs areas were clean, sanitary and in good repair. Pathways were free of obstruction and slip hazards. The programs had the required furnishing. Doors, windows, and toilets were clean and in working order. Extra sets of hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and activities. The facility’s ambient internal temperature was comfortable and compliant, at 76 degrees Fahrenheit (F). Hot water temperature at taps accessible to clients measured as follows: sink in restroom #1 delivered hot water at 105 degrees F; sink in restroom #2 delivered hot water at 117 degrees F; and hot water in restroom #3 delivered hot water at 115 degrees F. The day program did have snacks available for clients if needed, but clients opt to bring food from home or purchase food while at program. Dining equipment and utensils were present, and all safely stored. There were no toxic chemicals or poisons accessible to clients. Medications were properly labeled, as required, and stored in locked cabinet, which LPA inspected. The facility-maintained medication logs which LPA reviewed. [CONTINUED ON LIC 809-C]

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ARC IV DEVELOPMENT CENTER	FACILITY NUMBER: 134601955
	VISIT DATE: 03/21/2025

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[CONTINUED FROM LIC 809]

No pools or bodies of water on the premises. Per Day Program Director Garcia no firearms or ammunition are kept at the day program. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were present (03) and serviced within the last 12 months. First aid kit was complete and readily accessible.

LPA spoke with staff, and reviewed staff and client records. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the programs.

There were no deficiencies observed or cited during today's annual inspection.

An exit interview was conducted with ay Day Program Supervisor Sherri Gutierrez, and Day Program Director Vanisha Garcia to whom a copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided at the conclusion of the visit. The signature below confirms the documents were received.

Day Program Director Garcia provided LPA a current Designation of Administrative Responsibility LIC 308, Personnel Report LIC 500, and Emergency Disaster Plan LIC 610-D, to the LPA during today’s visit.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025

LIC809 (FAS) - (06/04)

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