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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336426777
Report Date: 08/21/2024
Date Signed: 08/21/2024 02:01:21 PM

Document Has Been Signed on 08/21/2024 02:01 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:IN-ROADS DAY PROGRAM #3FACILITY NUMBER:
336426777
ADMINISTRATOR/
DIRECTOR:		ANGELICA HILL-GARCIAFACILITY TYPE:
775
ADDRESS:26900, 04, 08 CHERRY HILLS BLVTELEPHONE:
(951) 672-1800
CITY:MENIFEESTATE: CAZIP CODE:
92586
CAPACITY: 45CENSUS: 25DATE:
08/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:10 PM
MET WITH:Tammy Enos, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
02:10 PM
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On 08/21/24 at 12:10pm Licensing Program Analyst (LPA) Javina George made and unannounced visit to the facility for the purpose of conducting a annual/1 year required visit. LPA was greeted and granted entry by Program Director Tammy Enos. The facility is licensed to serve 45 clients (38 ambulatory and 7 non-ambulatory) age range 18 through 59.
The facility is a single story structure that consists of staff offices, 3, bathrooms for both client and staff use, and multiple rooms: quiet, beauty, communication, art, vocational, and activity room. LPA observed for the facility to be clean and clutter free. The hot water was tested and measured to be within regulatory limits. There are no known guns, ammunition or bodies of water on the premises. The day program does not have an Automated External Defibrillator (AED) device. LPA observed for there to be fire extinguishers throughout the facility, a minimum of 3, that were fully charged with the tag in tact. The carbon monoxide detectors were tested and found to be operable. The building management conducted an inspection on 05/09/24 of the smoke alarms. The facility is conducting emergency disaster drills on a 6 months basis. LPA conducted a records of both client and staff files. LPA observed for all staff present to have obtained criminal record clearance and to be associated, in addition to have ongoing training which includes valid Cardio Pulmonary Resuscitation (CPR) and First aid. The client files were observed to have admission paperwork, Individual Program Plan, Individual Service Plans, and medical assessments.

The facility does not prepare food on the premises other than storing lunches in the refrigerator and utilizing the microwave to warm up the food that has been brought in by clients. The facility was observed to have personal protective equipment (PPE), and the chemicals to be locked and inaccessible to clients in care. There are no medications being stored or administered at the day program.

Based on today's inspection, there were no deficiencies cited in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 3). An exit interview was conducted and a copy of this report was provided to Tammy Enos, Program Director.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2024
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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