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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361880666
Report Date: 11/21/2024
Date Signed: 11/21/2024 11:30:12 AM

Document Has Been Signed on 11/21/2024 11:30 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
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:DESERT ARCFACILITY NUMBER:
361880666
ADMINISTRATOR/
DIRECTOR:
ANDERSON, DIANNAFACILITY TYPE:
775
ADDRESS:56315 29 PALMS HWYTELEPHONE:
(760) 346-1611
CITY:YUCCA VALLEYSTATE: CAZIP CODE:
92284
CAPACITY: 75CENSUS: 29DATE:
11/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:55 AM
MET WITH:Administrator Ray GosnellTIME VISIT/
INSPECTION COMPLETED:
11:35 AM
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Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Ray Gosnell, and discussed the purpose of the visit.

The facility is an Adult Day Program with a current census of 29 clients. During today's visit, there were 7 direct care staff present. LPA conducted an overall inspection, which included, but was not limited to the following:

The facility's passageways were clear and free of obstructions. The facility has one (1) main area designated for client activities. The facility has sufficient supply of arts supplies and board games. Client restrooms were odor free and operating in sanitary conditions. Cleaning solutions stored in a cabinet kept locked and stored away from clients in care. Client medications stored in locked cabinet inaccessible to clients in care. The facility has operating fire/carbon monoxide alarms that was recently inspected by the fire department on 10/29/24. The facility has posted in a common area: facility license, facility evacuation sketch, breakfast and snack menu, activities calendar, and Community Care Licensing complaint poster. Four (4) staff files were observed to be complete and included criminal record clearances. Four (4) client files were observed to be complete.

Based on observations and record review, no deficiencies will be cited per Title 22 of the California Code of Regulations.

An exit interview was conducted where this report LIC 809 was discussed with the Administrator. A copy of the report was provided to the Administrator Ray Gosnell at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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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