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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134603455
Report Date: 05/10/2024
Date Signed: 05/10/2024 01:22:57 PM

Document Has Been Signed on 05/10/2024 01:22 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 BEHAVIOR MANAGEMENT PROGRAMFACILITY NUMBER:
134603455
ADMINISTRATOR/
DIRECTOR:		VANISHA GARCIAFACILITY TYPE:
775
ADDRESS:1291 SOUTH HOPE STREETTELEPHONE:
(760) 482-9388
CITY:EL CENTROSTATE: CAZIP CODE:
92243
CAPACITY: 70CENSUS: DATE:
05/10/2024
TYPE OF VISIT:CollateralUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Director of Day Programs Vanisha GarciaTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to the facility to conduct a collateral visit pertaining to a complaint for another facility. LPA Amy Rodgers identified herself, was granted entry, and stated the purpose of the visit with Director of Day Programs Vanisha Garcia..

During the visit, LPA Rodgers interviewed staff and clients needed for the investigation.

No deficiencies were observed during today's visit.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 05/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/10/2024
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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