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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331800158
Report Date: 08/05/2024
Date Signed: 08/05/2024 12:32:39 PM

Document Has Been Signed on 08/05/2024 12:32 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:IN-ROADS DAY PROGRAM 4FACILITY NUMBER:
331800158
ADMINISTRATOR/
DIRECTOR:
HILL, ANGELICAFACILITY TYPE:
775
ADDRESS:4120-4130-4140-4150 E. FLORIDATELEPHONE:
(909) 864-1551
CITY:HEMETSTATE: CAZIP CODE:
92545
CAPACITY: 60CENSUS: 16DATE:
08/05/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:08 AM
MET WITH:ADMINISTRATOR, ANGELICA HILLTIME VISIT/
INSPECTION COMPLETED:
12:48 PM
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On August 05/2024, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced at the facility to conduct the Required Annual visit, and met with Administrator, Angelica Hill. LPA introduced herself and stated the purpose of the visit. The annual facility file was conducted in the Regional Office and additional records were reviewed on site.

The Facility is licensed to serve 60 Adults and is currently operating at a census of 20 Adults (775). Following is a summary of today’s inspection.
LPA Mixson observed eight classrooms, and all facility bathrooms. Storage rooms were observed and were locked and in accessible to clients in care. LPA saw kitchen area, it was clean, and had appliances that were operational. There was an office and activity rooms. LPA Mixson observed clients and staff engaged in activities.

The facility is clean and physical plant is in good repair. The facility has fire extinguishers charged and mounted throughout, for a total of eight. Carbon monoxide and smoke detectors were observed and in the green.

The facility's last earthquake drill was held on 07/12/2024 and the last fire drill on 7/30/2024. Staff files were reviewed and documents are current, along with Guardian review. Current staff files reviewed have criminal background clearance, are associated to the facility, and have current First Aid and CPR training.

The facility provides snacks for clients and the noon meal is provided by home. LPA Mixson observed the kitchen area to be clean, organized, and snacks stored appropriately. Cleaning solutions are secured in locked storage rooms. The thermostat was within regulations. The facility does not dispense medications. There are no bodies of water on the premises. Indoor passageways are free of obstruction and debris at the time of this visit. The facility uses verbal redirection as a behavior modification, and manual restraints are not utilized at this program currently. A first aid kit as well as emergency supplies such as extra food and water were observed. Overall, the facility was safe and met regulation. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit.

An exit interview was conducted and copy of this report was discussed and provided to Angelica Hill, Administrator.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE: DATE: 08/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/05/2024
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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