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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 297000435
Report Date: 11/06/2024
Date Signed: 11/06/2024 11:04:24 AM

Document Has Been Signed on 11/06/2024 11:04 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:NEIGHBORHOOD CENTER OF THE ARTSFACILITY NUMBER:
297000435
ADMINISTRATOR/
DIRECTOR:
AMEE MEDEIROSFACILITY TYPE:
775
ADDRESS:200 LITTON DR. STE. 212TELEPHONE:
(530) 272-7287
CITY:GRASS VALLEYSTATE: CAZIP CODE:
95945
CAPACITY: 75CENSUS: 55DATE:
11/06/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:50 AM
MET WITH:Christi CoffeyTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
NARRATIVE
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LPA Hiratsuka conducted this unannounced annual visit. LPA toured with Christi Coffey, Program Manager. Administrator Aimee Medeiros was conducting a cooking class with clients. The main entrance to the program is from an outside staircase located when facing the front of the building to the left and back part of the building the program rents space from. The main entrance opens to a large common area. The common area serves as a work space as well as an art gallery to sell the art work produced by the clients of the program. To the left there are several small rooms that are used as offices and a quiet area. To the right leads to several more rooms that are connected to the large, long common area. All the rooms are used for art projects. There is one room used for woodworking that is locked when not in use. There's a kitchenette area. There are two restrooms for the clients. This program provides art supplies to the clients so the clients can produce the artwork. There is also an outside area the clients are able to use as a garden. The garden area is fenced in. LPA observed clients working on art projects and asked some of them what they were working on.

-several client files were reviewed.
-several staff files were reviewed.


No deficiencies cited
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE: DATE: 11/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/06/2024
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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