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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361881188
Report Date: 11/15/2021
Date Signed: 11/15/2021 03:29:07 PM

Document Has Been Signed on 11/15/2021 03:29 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:SPOELSTRA LLC DBA VOICE - REDLANDFACILITY NUMBER:
361881188
ADMINISTRATOR:YANES, TONIFACILITY TYPE:
775
ADDRESS:461 TENNESSEE ST STE R.TELEPHONE:
(909) 792-2428
CITY:REDLANDSTATE: CAZIP CODE:
92373
CAPACITY: 60CENSUS: 46DATE:
11/15/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Toni Yanes, AdministratorTIME COMPLETED:
10:45 AM
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Licensing Program Analyst (LPA) Amy Goldenberg is conducting this announced visit for the purpose of a pre-licensing inspection. LPA met with Toni Yanes, Administrator and Jamie Goins, LVN. This is an adult day program.

A fire clearance for 60 ambulatory clients was approved on 09/29/2021. LPA conducted a tour of the location. This is a change of ownership of an operating day program. LPA toured the facility and observed elements of the fire clearance, infection control, PPE supply, medication storage, sharp storage and disposal, cleaning supply and resident records. LPA measured the water in client restrooms at 110 degrees F.

Based on LPA observations there are no areas of concern observed per Title 22, Division 6, of the California Code of Regulations.

This report was reviewed with and copy was provided to the facility representative.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amy Goldenberg
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2021
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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