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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361880666
Report Date: 10/16/2023
Date Signed: 10/16/2023 12:37:21 PM

Document Has Been Signed on 10/16/2023 12:37 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:DESERT ARCFACILITY NUMBER:
361880666
ADMINISTRATOR:ANDERSON, DIANNAFACILITY TYPE:
775
ADDRESS:56315 29 PALMS HWYTELEPHONE:
(760) 346-1611
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 75CENSUS: 23DATE:
10/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Dianna Anderson, AdministratorTIME COMPLETED:
12:35 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 Analyst (LPA) Magda Malcore conducted an unannounced required annual visit to the facility. LPA met with Dianna Anderson, Administrator, and discussed the purpose of the visit. The facility is an Adult Day Program with a license capacity of 75 and a current census of 23 clients. Facility is operating in ratio. LPA conducted an overall inspection, which included, but was not limited to the following: The facility indoor and outdoor passageways are clear and free of obstructions. The facility has sufficient activity space for clients. Client activities include watching videos, board games, arts and crafts, and off-site sport activities. LPA inspected client bathrooms; Bathroom equipment was in sanitary and operating conditions. The hot water temperatures in client bathrooms #1, #2, #3 tested below regulation requirements at 78 degrees F. LPA observed snacks were accessible to clients and stored in a healthful manner. Facility has sufficient plates and cups for clients. The facility has filtered drinking water for clients. The facility has operating telephone service and carbon monoxide alarms. Emergency evacuation plans, personal rights and Community Care Licensing complaint posters were posted in the common area. An evacuation drill was conducted on 9/26/23. Facility has complete first aid kits and sufficient personal protective equipment. Disinfectants, cleaning supplies, and sharps were kept locked and inaccessible to clients in care. LPA reviewed (4) staff files for criminal record clearances or exemptions, training, and health screenings. LPA reviewed (4) client files for emergency contacts, admissions’ agreements, medical assessments and needs and service plans. LPA file review revealed client #3 (C3) had an incomplete medical assessment on file. Client #4 (C4) did not have a written medical assessment (physical) on file. Deficiencies were cited during today’s visit and a plan of correction was discussed with the Administrator. An exit interview was conducted, and a copy of the licensing reports were provided to the administrator at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE: DATE: 10/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/16/2023
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 5
Document Has Been Signed on 10/16/2023 12:37 PM - It Cannot Be Edited


Created By: Magda Malcore On 10/16/2023 at 12:06 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: DESERT ARC
FACILITY NUMBER: 361880666

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82088(e)(1)
Fixtures, Furniture, Equipment, and Supplies
(1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA observations, the licensee did not comply with the section cited above by the hot water temperatures in client bathrooms #1, #2, #3 tested below regulation requirements at 78 degrees F, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/31/2023
Plan of Correction
1
2
3
4
Licensee/Adminstrator shall submit to the licensing agency documented proof of water maintenance repair or a certified statement that the deficiency has been corrected by POC date.
Type B
Section Cited
CCR
82069(a)
Client Medical Assessments
(a) Prior to or within 30 calendar days following the acceptance of a client, the licensee shall obtain a written medical assessment of the client that determines the licensee's ability to provide necessary health-related services to the client. The assessment shall be used in developing the Needs and Services Plan.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA file review, the licensee did not comply with the section cited above by client #4 (C4) did not have a written medical assessment (physical) on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/31/2023
Plan of Correction
1
2
3
4
Licensee/Administrator shall submit to the licensing agency proof of written medical assessment for client by POC date.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karen Clemons
LICENSING EVALUATOR NAME:Magda Malcore
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2023


LIC809 (FAS) - (06/04)
Page: 2 of 5
Document Has Been Signed on 10/16/2023 12:37 PM - It Cannot Be Edited


Created By: Magda Malcore On 10/16/2023 at 12:06 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: DESERT ARC
FACILITY NUMBER: 361880666

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/16/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82069(b)(1)
Client Medical Assessments
(b) The medical assessment shall include the following: (1) The results of an examination for communicable tuberculosis and other contagious/infectious diseases.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on LPA file review, the licensee did not comply with the section cited above by client #3 (C3) did not have examination results, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 10/31/2023
Plan of Correction
1
2
3
4
Licensing/Administrator shall submit to the licensing agency examination results for client by POC date.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Karen Clemons
LICENSING EVALUATOR NAME:Magda Malcore
LICENSING EVALUATOR SIGNATURE:
DATE: 10/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/16/2023


LIC809 (FAS) - (06/04)
Page: 3 of 5