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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134602532
Report Date: 05/15/2024
Date Signed: 05/15/2024 05:34:28 PM

Document Has Been Signed on 05/15/2024 05:34 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:DAYOUT ADHC/ALZHEIMER DAY CARE RESOURCE CENTERFACILITY NUMBER:
134602532
ADMINISTRATOR/
DIRECTOR:		ELIZABETH MACHADOFACILITY TYPE:
775
ADDRESS:757 MAIN STREETTELEPHONE:
(760) 337-8394
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY: 10CENSUS: 0DATE:
05/15/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Program Director, Maribelle MendezTIME VISIT/
INSPECTION COMPLETED:
01:55 PM
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required 1 - Year Visit. Program Director, Maribelle Mendez, greeted LPA. LPA met with Mendez and discussed the purpose of the visit. All staff present have a current criminal record clearance.

This facility has a dual license. The Adult Day Health Center (ADHC) is licensed by another State agency. The Alzheimer Day Care Resource Center is licensed by Community Care Licensing (CCL) Department. The day program is licensed to serve ten (10) Alzheimer’s clients, ages 60 and above: five (5) of whom may be non-ambulatory. During today’s visit, all clients in care were for the program licensed with DHS.

LPA, accompanied by the Program Director, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, sinks, and toilets were in working order. Hand hygiene supplies and Personal Protective Equipment were present. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature was comfortable and compliant, at 72 F.

There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Ten (10) Fire extinguishers were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Medications were labeled, as required and stored in locked areas. Facility liability insurance was current.

(Continue at LIC809C)
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE: DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/15/2024
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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: DAYOUT ADHC/ALZHEIMER DAY CARE RESOURCE CENTER
FACILITY NUMBER: 134602532
VISIT DATE: 05/15/2024
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(Continue from LIC809)

LPA interviewed staff and reviewed multiple staff and records/files. LPA reviewed the list of documents required for admission into the program, the list contained all the necessary forms. The files that LPA reviewed contained the required documents. Confidential records are stored in a secured location. Required licensing postings were observed in visible areas of the facility.

No deficiencies were observed or cited during today's visit.

An exit interview was conducted with Program Director, Maribelle Mendez, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 05/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2024
LIC809 (FAS) - (06/04)
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