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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347005694
Report Date: 07/28/2023
Date Signed: 07/28/2023 11:43:26 AM

Document Has Been Signed on 07/28/2023 11:43 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 NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TURNING POINT COMMUNITY PROGRAMSFACILITY NUMBER:
347005694
ADMINISTRATOR:DERRICK BANEFACILITY TYPE:
772
ADDRESS:505 M STREETTELEPHONE:
(916) 287-4067
CITY:RIO LINDASTATE: CAZIP CODE:
95673
CAPACITY: 15CENSUS: 11DATE:
07/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Kang Chan, Program DirectorTIME COMPLETED:
12:22 PM
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On July 28, 2023, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to conduct a 1 year required annual Inspection. LPA met with Kang, the Program Director and explained the reason for the visit.

Kang and LPA conducted the Covid infectious Control questionnaire with no advisories.

LPA and Kang toured the facility. The census is 11 at this time. The facilities Emergency Disaster Plan, Resident’s Rights and Facility Sketch was available for viewing. The room temperature was 74 degrees F which is within range. LPA observed there to be a sufficient amount of 2-day perishable and 7-day non-perishable food. Resident bedrooms and bathrooms were toured. There are 15 single bedrooms single suites. All rooms had the required items of furniture. Bathrooms were clean, sanitary and odorless and consisted of grab bars and non-skid mats. First Aid Kit was complete.

There are no bodies of water on the premises. The perimeter fence, side gates, and latches were in good repair. Passageways are free of obstruction and pKotential hazards. There’s a centralized storage area for resident’s medication. Medication cabinet was locked. The facility Medication Administration Record was reviewed as well as the dispensing log and was completed. LPA 2 reviewed 2 staff files and 2 client files. Both client files had the updated correct signed documents in them. Staff files had the updated information in them as well.

Per California Code of Regulations, Title 22, No violations were observed. No citations were issued at this time.

The Program Director shall submit updated copies of the LIC 500 Personnel Report, LIC 308 Designation of Administrative Responsibility, LIC 610D the Emergency Disaster Plan, and copy of current Liability Insurance to update the facility file. Administrator shall submit the listed documents to Licensing no later than August 28, 2023.

An exit interview was conducted and a copy of this report was left at the facility

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2023
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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