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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347004075
Report Date: 03/09/2023
Date Signed: 03/09/2023 12:38:52 PM

Document Has Been Signed on 03/09/2023 12:38 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 AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:AIM HIGHER INC.FACILITY NUMBER:
347004075
ADMINISTRATOR:VEAN LOEUNFACILITY TYPE:
775
ADDRESS:3151 DWIGHT ROAD, SUITE 100TELEPHONE:
(916) 391-4668
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 50CENSUS: 12DATE:
03/09/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Program Director Vean LoeunTIME COMPLETED:
12:45 PM
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 Analysts (LPAs) Vincent Moleski and Jason Lund arrived unannounced on Thursday, March 9, 2023 to conduct an annual inspection. LPAs Moleski and Lund met with program director Vean Loeun and explained the purpose of the visit. The facility is licensed for a capacity of 50 clients, of which 10 may be non-ambulatory.

LPAs Moleski and Lund reviewed staff files for S1, S2, S3, S4. and S5, and client files for C1, C2, C3, C4, and C5.

LPAs Moleski and Lund toured the grounds with Loeun. LPAs Moleski and Lund observed the classrooms, common areas, office areas, medication storage areas, and multipurpose room. The grounds appeared clean and well-maintained. Fixtures and furnishings in all areas were appropriate to meet the needs of clients. Fire extinguishers, first aid kits, and smoke/carbon detectors were observed. Hot water temperatures were measured and observed to be below 120 degrees, as required.

No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Loeun.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE: DATE: 03/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/09/2023
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