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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336413159
Report Date: 06/06/2022
Date Signed: 06/30/2022 11:45:25 AM

Document Has Been Signed on 06/30/2022 11:45 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:ANGEL VIEW ADULT DAY CAREFACILITY NUMBER:
336413159
ADMINISTRATOR:MICHELE HUNSAKERFACILITY TYPE:
775
ADDRESS:12379 MIRACLE HILL ROADTELEPHONE:
(760) 329-6471
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY: 105CENSUS: 0DATE:
06/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Michele Hunsaker, AdministratorTIME COMPLETED:
11:11 AM
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Licensing Program Analyst Yolanda Delgado arrived unannounced to the facility to conduct an Annual Inspection to the facility with emphasis on Infection Control. LPA met with Michele Hunsaker and explained the purpose of the visit today. Currently there are no clients in the Day Program, they are on alternative visits with clients. Three (3) staff present at the Day Program. There are no positive cases for COVID-19.
LPA observed appropriate postings in the facility, including COVID-19 symptoms postings and visitation policies, which were in accordance with the Department's guidelines. LPA observed that the facility was also equipment with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions and a supply of Personal Protective Equipment (PPE). LPA observed that the facility has a designated infection control ead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation and properly caring for clients with COVID-19 positive results and exposures. The facilty also has a plan in place to monitor residents regularly for any changes in condition and to subsequently notify the resident's physician and emergency personnel in the event the resident presents any COVID-19 symptoms.

No deficiencies were cited during today's visit. An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE: DATE: 06/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2022
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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