<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342701459
Report Date: 06/13/2024
Date Signed: 06/13/2024 09:48:55 AM

Document Has Been Signed on 06/13/2024 09:48 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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:REACH ADULT DEVELOPMENT INC.FACILITY NUMBER:
342701459
ADMINISTRATOR/
DIRECTOR:		SUH, SEANFACILITY TYPE:
775
ADDRESS:2489 SUNRISE BLVD.TELEPHONE:
(916) 212-6476
CITY:GOLD RIVERSTATE: CAZIP CODE:
95670
CAPACITY: 45CENSUS: 0DATE:
06/13/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Jessica KnuthTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Christina Valerio arrived announced to conduct a pre-licensing inspection due to a change of location. LPA met with Reach Adult Development Inc. representative Jessica Knuth, and explained the purpose of the visit.

Upon arrival, LPA observed 1 staff member and 0 participants. All current participants are attending Day Program at the previous location. LPA Valerio toured the physical plant to ensure compliance with Title 22 regulations. LPA Valerio inspected 6 classrooms, 7 office rooms, a quiet room, the media room, the kitchen, common areas, and 3 bathrooms. There will be areas for participants to place their belongings and food items. If necessary, the program will have a secured area for medications. There will also be a room for a person should they experience any COVID symptoms and need to isolate. There were no health or safety concerns observed. The program has an infection control plan and an emergency disaster plan in place that was reviewed and approved by the Regional Office.

LPA Valerio conducted the Component III portion of the application process. No further questions were noted. LPA Valerio to notify the CAB analyst that the Pre-Licensing is complete and this facility has no deficiencies.

Per California Code of Regulations (CCR) - Title 22, no deficiencies were observed. An exit interview was held, and a copy of the report was provided.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1