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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330905206
Report Date: 12/12/2023
Date Signed: 12/12/2023 11:23:51 AM

Document Has Been Signed on 12/12/2023 11:23 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:DESERT ARCFACILITY NUMBER:
330905206
ADMINISTRATOR:CYNTHIA VIZCARRAFACILITY TYPE:
775
ADDRESS:73-255 COUNTRY CLUB DRIVETELEPHONE:
(760) 346-1611
CITY:PALM DESERTSTATE: CAZIP CODE:
92260
CAPACITY: 250CENSUS: 226DATE:
12/12/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Director, Lynn Vizacarra De AndaTIME COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Janira Arreola conducted a required annual visit. LPA was greeted and was granted entry and met with Director, Lynn Vizacarra De Anda who was informed of the purpose of the visit.

The facility is comprised of (3) one story buildings with activity rooms, offices, conference rooms, isolation room, bathrooms, dining room and medication room. The facility does not have a pool or fire arms. The facility is designated as an adult day program serving adults ages of 18-59 years of age. LPA conducted a tour of the interior and exterior and reviewed facility documents. LPA observed the following:

Infection Control: LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has a plan on mitigating infectious diseases and training staff on these practices.

Physical Plant: LPA observed the facility physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were present and in good repair. The facility does not have an outdoor activity area with shade and protection from traffic. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The hot water temperature was recorded at 120F.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. The facility does not provide food service to clients. LPA observed where client lunch boxes are stored.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: DESERT ARC
FACILITY NUMBER: 330905206
VISIT DATE: 12/12/2023
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Health Related Services/ Incidental Medical Services: The facility assists with administration of medication. Medications were observed locked in medication room.

Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing last fire drill conducted October 2023. LPA observed all facility exits were clear from obstructions.

Due to time constraints, the inspection will be continued on a separate date. No deficiencies were cited at the time of the visit. An exit interview was conducted where a copy of this report was provided to Director, Lynn Vizacarra De Anda.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 12/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023
LIC809 (FAS) - (06/04)
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