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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361881189
Report Date: 11/18/2021
Date Signed: 11/18/2021 10:07:57 AM

Document Has Been Signed on 11/18/2021 10:07 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:SPOELSTRA LLC - VOICE LOMA LINDAFACILITY NUMBER:
361881189
ADMINISTRATOR:THOMAS, ELENAFACILITY TYPE:
775
ADDRESS:24733 REDLANDS BLVDTELEPHONE:
(909) 792-2428
CITY:LOMA LINDASTATE: CAZIP CODE:
92354
CAPACITY: 90CENSUS: 33DATE:
11/18/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Elena Thomas, DirectorTIME COMPLETED:
10:22 AM
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On 11/18/2021 Licensing Program Analyst (LPA) Shaunte Henry conducted an announced visit for the purpose of conducting a pre-licensing inspection. Upon arrival, LPA met with Elena Thomas. On 8/7/21 the Loma Linda Fire Department approved the facility for 90 ambulatory clients for an adult day program. The facility is a single story commercial complex with kitchen, dining areas and activity areas. There is a COVID-19 mitigation plan on file. The entrance to the day program is located at suite D.

The facility has an adequate variety of programming areas which will include programs for art, crafts, table-top activities, recreation activities, music, and exercise. The LPA also observed a hydration/feeding area, changing areas, a laundry room and a medication room. There is a COVID-19 screening station at the front and rear entryways. All bathrooms were clean and had the proper postings. The cleaning and disinfecting supplies, hazardous materials and other toxins were observed and are locked inside of a cabinet within a locked room. The facility is stocked with a sufficient supply of personal protective equipment. The emergency disaster plan is posted throughout the facility. There are two transportation vans that loads and unloads the clients in the rear of the facility. Client files will be stored in the office near the conference room. Fire extinguishers are located throughout the facility and are fully charged.

There were no deficiencies observed during the inspection. Composition III was completed during the inspection. The adult day program appears to be ready for licensing. An exit interview was conducted where this report was provided to Elena Thomas.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Shaunte Henry
LICENSING EVALUATOR SIGNATURE: DATE: 11/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2021
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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