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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 134603455
Report Date: 11/21/2024
Date Signed: 11/21/2024 01:15:58 PM

Document Has Been Signed on 11/21/2024 01:15 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: 35DATE:
11/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:25 AM
MET WITH:Administrator Vanisha Garcia & Supervisor Martha AmesquitaTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit.  LPA was welcomed by and discussed the purpose of the visit to Supervisor Martha Amesquita. Administrator Vanisha Garcia arrived later during the visit. The facility's license shows a maximum capacity of seventy (70) developmentally disabled adults of which eight (8) may be non-ambulatory. During today’s inspection, there were a total of 35 clients enrolled, of whom 2 were non-ambulatory.
 
LPA with Administrator Garcia and Supervisor Amesquita toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Doors, windows, screens, and toilets were in working order.  Hand hygiene supplies were present, as well as Personal Protective Equipment. Facility does not prepare food on the premises and clients bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities  No toxic chemicals or poisons were accessible to clients.  Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per Administrator Garcia, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order.  Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.

LPA reviewed facility records. The files reviewed by LPA contained required documents. Confidential records were stored in locked areas.
 
No deficiencies were cited during the inspection.  An exit interview was conducted with Administrator Garcia and Supervisor Amesquita to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Hannah Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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