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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606385
Report Date: 10/10/2025
Date Signed: 10/10/2025 02:19:03 PM

Document Has Been Signed on 10/10/2025 02:19 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:ARC VENTURA COUNTY(ARCADE)FACILITY NUMBER:
197606385
ADMINISTRATOR/
DIRECTOR:		MARY KAY SAWYERFACILITY TYPE:
775
ADDRESS:295 S. ARCADE DRIVETELEPHONE:
(805) 652-0541
CITY:VENTURASTATE: CAZIP CODE:
93003
CAPACITY: 100CENSUS: 65DATE:
10/10/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:34 AM
MET WITH:Mary SawyerTIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced required Annual Inspection to the facility. LPA initially met with Jennifer Chavez, Program Supervisor. Administrator Mary Sawyer arrived at 11:20AM. Entrance interview conducted.

The program is part of The Arc of Ventura County, Inc, a non-profit corporation 501(3)(b). The facility operates in a building owned by the non-profit corporation and is located in a mostly residential area of the City of Ventura with access to local eateries and retail businesses. The facility hours of operation are Monday through Friday, 08:00AM to 02:30PM. At the time of arrival, there were 65 (sixty five) participants engaged in various projects and activities with staff.

Beginning at 11:33AM, LPA, along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and to ensure facility is in compliance with Title 22 Regulations. The facility has various fire extinguishers throughout the buildings, all of which were observed to be fully charged and last serviced on 06/11/2025. LPA observed combination carbon monoxide and smoke detectors are in good working order.

RESTROOMS: The restrooms were observed to be clean and sanitary with a hand soap and paper towels. The hot water temperature in the restroom was tested and measured at 101.8 degrees Fahrenheit.

COMMON AREAS: The facility consists of 3 (three) separate buildings. The first contains a kitchen, 4 (four) bathrooms, various offices, a mulitpurpose area, movie room, and a changing room. The second building contains a staff room, office area, and multipurpose room. The third building contains a restroom, art studio, and ceramics room.


Report Continued on LIC 809-C
NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Kelly Dulek
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/10/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ARC VENTURA COUNTY(ARCADE)
FACILITY NUMBER: 197606385
VISIT DATE: 10/10/2025
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OUTDOOR SPACE: The facility has an outdoor patio and garden area, a turtle pond surrounded by a safety fence, and a grassy outdoor space. There is ample shaded seating. The facility has 5 (five) vehicles located on the premises, which are used for participant and staff transport. Each vehicle is equipped with a First Aid kit and fire extinguisher.

FOOD SERVICE: The kitchen consists of an industrial oven, a sink, convection oven/air fryer, toaster, and blender. The kitchen area was clean and in good condition. Participants bring their lunch and snacks. The facility has emergency food and water available. Sharps are kept in a locked drawer in the kitchen area. Cleaning supplies are stored in a separate locked area. Water temperature measured at 118.0 degrees Fahrenheit in the kitchen.

RECORD REVIEW: Beginning at 11:55AM, LPA reviewed Personnel records for various trainings including First Aid/CPR training, criminal background clearance, and health screening. All staff records and trainings are up to date. LPA reviewed Participant’s records for health screenings, admission records, Individual Program Plan (IPP), Needs and Services, Pre-Placement Appraisals and Appraisals. All participant’s records were in good order.

MEDICATIONS: The facility stores and administers both regular and PRN (as needed) medications. Medications were reviewed for 2 (two) participants. Medications observed were properly stored and documented at the time of the visit. LPA observed First Aid kits throughout the buildings were complete.

EMERGENCY DISASTER PLAN/INFECTION CONTROL: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and updated annually as required. The facility conducts disaster drills quarterly, with the last documented drill on 09/30/2025.

Exit interview conducted. No deficiencies noted. Copy of report issued at the time of the visit.

NAME OF LICENSING PROGRAM MANAGER: Kristin Heffernan
NAME OF LICENSING PROGRAM ANALYST: Kelly Dulek
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025
LIC809 (FAS) - (06/04)
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