<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 330905206
Report Date: 12/18/2023
Date Signed: 12/18/2023 02:25:26 PM

Document Has Been Signed on 12/18/2023 02:25 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
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:
12/18/2023
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Director, Lynn Vizacarra De AndaTIME COMPLETED:
02:35 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Janira Arreola conducted am unannounced continuation of required annual visit initiated on 12/12/2023. LPA met with Director, Lynn Vizacarra De Anda who was informed of the purpose of the visit.

Food Service: LPA observed the facilities 2-day and 7-day food supplies which met the requirements.

Physical Plant: Inspection for smoke and carbon monoxide alarms was conducted on 12/12/2023. Inspection documentation was reviewed showing a passing determination.

Record Review and Resident/Staff Files: LPA reviewed staff files and training that contained staff criminal clearance and updated training along with CPR/First Aid. Client files were reviewed and possessed all required paperwork.

No deficiencies were cited at the time of the visit. An exit interview was conducted where this report was reviewed and provided to Director, Lynn Vizacarra De Anda.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE: DATE: 12/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1