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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331800158
Report Date: 08/22/2023
Date Signed: 08/22/2023 02:21:34 PM

Document Has Been Signed on 08/22/2023 02:21 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 AC/SC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:IN-ROADS DAY PROGRAM 4FACILITY NUMBER:
331800158
ADMINISTRATOR:ALICIA HAYNESFACILITY TYPE:
775
ADDRESS:4120-4130-4140-4150 E. FLORIDATELEPHONE:
(909) 864-1551
CITY:HEMETSTATE: CAZIP CODE:
92545
CAPACITY: 60CENSUS: 12DATE:
08/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Administrator Angelica Garcia HillTIME COMPLETED:
02:30 PM
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On 8/22/2023, Licensing Program Analyst (LPA) Janette Romero arrived unannounced at the facility to conduct a required annual visit. LPA was greeted and granted entry by Direct Care Staff Rachel Jones. Administrator Angelica Garcia Hill was at the facility and provided a tour for LPA.

The facility is made of eight (8) classrooms, four (4) bathrooms, three (3) storage rooms, a kitchen, office and activity room. During LPA's visit, there was 12 clients and 7 direct care staff present. LPA observed clients in the activity room as they prepared to go home.
During today's visit, LPA observed the facility is clean and physical plant is in good repair. The facility has fire extinguishers charged and mounted throughout the suites. Carbon monoxide and smoke detectors were tested and found functional. The facility's last earthquake drill was held on 6/23/2023 and the last fire drill on 5/5/2023. Staff present have a criminal background clearance, are associated to the facility, and have current CPR/First Aid training. The facility provides snacks for clients. LPA observed the kitchen area to be clean and snacks stored in a safe and healthful manner. Knives are secured in locked kitchen drawers. Cleaning solutions are secured in locked storage rooms. The thermostat was comfortably set to 75 degrees Fahrenheit. The facility does not dispense medications for any of their current clients. There are no bodies of water on the premises. Indoor passageways were free of obstruction. The facility does not use manual restraint and uses verbal redirection as a behavior modification.

During today's visit, LPA did not observe any deficiencies. A copy of this report was discussed and provided to Administrator Garcia Hill.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2023
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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