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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336406642
Report Date: 04/11/2022
Date Signed: 04/11/2022 02:50:29 PM

Document Has Been Signed on 04/11/2022 02:50 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:VALLEY RESOURCE CENTERFACILITY NUMBER:
336406642
ADMINISTRATOR:ANDREA WELLSFACILITY TYPE:
775
ADDRESS:1285 N. SANTA FE, SUITE BTELEPHONE:
(951) 766-8659
CITY:HEMETSTATE: CAZIP CODE:
92543
CAPACITY: 35CENSUS: 31DATE:
04/11/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Program Manager, Jennifer Herrera. TIME COMPLETED:
02:55 PM
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Licensing Program Analyst (LPA) Javina George made an unannounced visit to the day program to conduct an annual inspection focused on infection control. LPA met with Program Manager Jennifer Herrera. LPA explained the purpose of the visit. At the time of the visit there were four (4) client's present. The day program is currently offering both remote services and in person services. The day program currently has zero positive or suspected Covid-19 cases.

During today's visit, LPA toured the day program and made observations regarding the infection control measures that the day program has implemented. The day program has an adequate amount of hand hygiene supplies (soap, hand sanitizer). All staff present were also observed wearing appropriate face coverings (surgical masks).

The day program has a plan in place to monitor participants regularly for any changes in condition, which includes daily temperature checks upon entry and screening questions referred to as the program affirmation form. Should a consumer begin to exhibit any symptoms related to COVID-19, day program staff will contact the client's responsible party. The day program has a staff office designated should a client require isolation. The day program has designated markers to remind to and practice social distancing.

Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and a copy of this report was provided to Program Manager Jennifer Herrera.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE: DATE: 04/11/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/11/2022
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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