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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347004282
Report Date: 12/09/2021
Date Signed: 12/09/2021 11:45:30 AM

Document Has Been Signed on 12/09/2021 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, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:AIM HIGHER INC.FACILITY NUMBER:
347004282
ADMINISTRATOR:DAVID, MARINAFACILITY TYPE:
775
ADDRESS:3151 DWIGHT ROAD, SUITE 300TELEPHONE:
(916) 599-5200
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 30CENSUS: 30DATE:
12/09/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Vean LoeunTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Christina Valerio arrived at this facility unannounced to conduct an annual inspection visit. LPA Valerio introduced herself, explained the purpose of the visit, and was met by Program Director Vean. LPA Valerio was screened for COVID-19 symptoms with temperature prior to being allowed inside the facility. Facility staff confirmed there are 0 participants and 0 staff that have displayed any signs or symptoms of COVID-19 in the last 10 days.
 
The physical plant was toured inside and outside to ensure the safety of the participants and compliance with Title 22 regulations. Participants were observed participating in activities. The program has designated cohorts to minimize contact. Participants are encourage to wear masks at all times unless eating or drinking. LPA conducted the infection control domain tool. The facility has a LIC 808 mitigation plan uploaded into FAS. LPA observed the facility to have COVID-19 informational signs, social distancing signs, hand washing signs posted throughout the facility and in shared bathrooms. The facility is able to designated and dedicated a isolation area if needed. LPA engaged with a few participants and staff during the visit.
 
LPA observed the temperature inside the facility was measured at 76 *F, which is within the required range of 68 degrees F and 85 degrees F. The hot water was measured at 105 *F, which is not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). The facility common areas were clean and furnished. Office spaces were organized and free from debris. Facility has one participant receiving medications during program hours. Medication cabinet was locked and inaccessible to participants. Tables had dividers and chairs were spaced apart to ensure social distancing. Smoke and carbon detectors were in good repair. Fire extinguishers are up to date and a pull alarm system was observed. All emergency exits were clear from obstructions.
 
Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was left with Program Director Vean Leoun.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE: DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/09/2021
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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