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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 317003286
Report Date: 08/30/2024
Date Signed: 08/30/2024 03:12:29 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 08/30/2024 03:12 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:AIM HIGHER INC. DBA ED DAVIDFACILITY NUMBER:
317003286
ADMINISTRATOR/
DIRECTOR:		DAVID, EDFACILITY TYPE:
775
ADDRESS:1132 SMITH LANETELEPHONE:
(916) 783-4688
CITY:ROSEVILLESTATE: CAZIP CODE:
95661
CAPACITY: 136CENSUS: 55DATE:
08/30/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:11 PM
MET WITH:Melissa Sipsy, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
03:42 PM
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On August 30, 2024, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct an Annual Inspection. LPA met with Melissa Sipsy, Program Director and informed her the reason for the visit.

LPA and Melissa toured the interior and exterior of the facility to ensure the health and safety of the clients in care. The temperature was 74 degrees in the facility. The tour included the common areas, multipurpose rooms- 4 in total, bathrooms, backyard, and kitchen.

First aid kit was present and included the required scissors, tweezers, thermometer and guide. Fire alarms, smoke alarms, and carbon monoxide detectors operate properly. Fire extinguishers are maintained and ready for emergency use. LPA inspected the exterior grounds of this facility. There are no bodies of water on the premises. The perimeter fence is in good repair and Passageways are free of obstruction and potential hazards.

LPA reviewed 3 client files and 2 staff files. Client Records reviewed indicated emergency contacts, IPP, and Admission Agreements were all current and up to date. Staff records reviewed revealed current First Aid & CPR certificates, Health Screenings and Emergency Contacts were all up to date.

In the areas toured no immediate health, safety, or personal rights violations were observed.

Per California Code of Regulations, Title 22, no citations were issued.

An exit interview was conducted and a copy of this report was given to Melissa.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons
LICENSING EVALUATOR SIGNATURE: DATE: 08/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2024
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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