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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361881188
Report Date: 02/17/2023
Date Signed: 04/07/2023 08:52:48 AM

Document Has Been Signed on 04/07/2023 08:52 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, 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:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 60CENSUS: 30DATE:
02/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Toni Yanes, Program ManagerTIME COMPLETED:
02:10 PM
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Licensing Program Analyst, Amber Coleman (LPA) made an unannounced visit to the Spolestra Voice Adult Day Care Facility to conduct an Annual Inspection with a focus on infection control. LPA was greeted by a staff member who invited LPA inside facility. Staff member asked LPA to sign in, while they went to notify Program Manager (PM) of LPA visit. While signing in, LPA observed the facility's COVID station a top the desk. Station included hand sanitizer, masks and a number of infection control signs. PM greeted LPA and introduced herself as Toni Yanes along with her Assistant Patricia Rodriguez. LPA introduced self and stated the purpose of the visit. Program Mgr. PM reported the current census is 30 and there are currently no suspicions of staff or client's contracting COVID. Staff members are mostly vaccinated.

During the inspection, LPA interviewed PA pertaining to the facility's infection control measures and other health and safety concerns. LPA observed necessary signs posted in the facility, including signs related to COVID-19, which were in accordance with the Department's guidelines. PM stated that the facility is equipped with sufficient PPE, hand hygiene supplies, and sufficient cleaning/disinfecting provisions. The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring PPE supplies are maintained, cleaning and disinfection provisions are in adequate quantities, and that staff are trained in the facility's infection control measures. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation of residents, and properly caring for residents with COVID-19 positive results and/or exposures. The facility also has a plan in place to monitor clients regularly for any changes in condition and to subsequently notify the client's physician and emergency personnel in the event the resident presents any COVID-19 symptoms.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amber Coleman
LICENSING EVALUATOR SIGNATURE: DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/17/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: SPOELSTRA LLC DBA VOICE - REDLAND
FACILITY NUMBER: 361881188
VISIT DATE: 02/17/2023
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PM reported that there are disaster drills conducted on a monthly basis. The last fire drill was conducted on 10/19/22. Fire Extinguishers were observed throughout the facility; last inspected 7/13/22
Last Fire Inspection of Facility was held on 1/4/22. PM explained that these inspections are not scheduled. The Fire Dept. inspections are usually unannounced. The Fire Dept. has not made a visit this year yet.

At Approximately 12:55pm LPA, Program Administrator and Program Asst. were walking through the main room area. While showing LPA, the closet were extra supplies and cleaning solutions are kept, LPA witnessed Program Administrator open the door. LPA asked if the door was secure. Program Administrator stated the door was left unlocked by a staff member, because they often retrieve items from the closet throughout the day. PM stated, she understood the problem with leaving the door unsecure. She then secured the door in LPA presence.

Inspection Tool was utilized, Mitigation plan was reviewed. Facility was further inspected, and 1 Technical Violation issued. A exit interview was conducted where a copy of this report was provided the Program Manager, Toni Yanes.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amber Coleman
LICENSING EVALUATOR SIGNATURE:

DATE: 02/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023
LIC809 (FAS) - (06/04)
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