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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701423
Report Date: 11/19/2024
Date Signed: 11/19/2024 02:37:34 PM

Document Has Been Signed on 11/19/2024 02:37 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ASPIRATIONS WELLNESS CENTERSFACILITY NUMBER:
342701423
ADMINISTRATOR/
DIRECTOR:
RIVERA, JOSHUAFACILITY TYPE:
735
ADDRESS:511 G STREETTELEPHONE:
(916) 850-2080
CITY:GALTSTATE: CAZIP CODE:
95632
CAPACITY: 6CENSUS: 0DATE:
11/19/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Jessica Bowen, Joshua RiveraTIME VISIT/
INSPECTION COMPLETED:
02:50 PM
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Licensing Program Analyst (LPA) Christina Valerio arrived announced to conduct a pre-licensing inspection. LPA Valerio met with Licensee Jessica Bowen and Administrator Joshua Rivera, and explained the purpose of the visit.

The facility is licensed to serve residents 18 to 59 years of age. The facility has an approved fire clearance for ambulatory residents only. Bedrooms labeled #2, #3, #4, #5, #6, #7 are the only rooms to be used as client bedrooms. Room labeled #1 shall only be used by staff.

According to the licensee Bedrooms #8, #9, and #10 will be unoccupied unless the facility needs to utilize the area for isolation purposes due to an infectious disease.

Bedrooms were observed to be fully furnished and have clean linens. Bathrooms were observed to have a lidded trash can, hygiene products, hand soap, paper towels, and toilet paper. Hot water was measured between the regulatory range of 105-120.0 degrees. The facility has four common areas (living room, game room, zen room, and dinning room). All common areas were observed to be fully furnished, clean, and free from debris. LPA observed where files, medications, toxins, and sharps will be locked and inaccessible to residents in care. LPA Valerio observed where non-perishable and perishable food items will be stored. Kitchen area were observed be fully operational. The fire extinguisher, carbon monoxide detectors, fire detectors, and central heating and air condition were observed to be in working condition. The exterior area was observed to have areas for outdoor activities and place to sit. The shed is being utilized as storage. The trailer is an empty trailer and will not be used for any place of living.

Pre-Licensing is complete and this facility has no deficiencies. Component III was completed during the visit. There were no further questions. LPA to inform the CAB analyst of the inspection. An exit interview was held, and a copy of report was provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
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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