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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366405698
Report Date: 05/24/2022
Date Signed: 05/24/2022 11:01:24 AM

Document Has Been Signed on 05/24/2022 11:01 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
, CA 92507
FACILITY NAME:INNOVATIVE BUSINESS PARTNERSHIPS, INC.FACILITY NUMBER:
366405698
ADMINISTRATOR:THERESE M. KRAGNESSFACILITY TYPE:
775
ADDRESS:17191 JASMINE STREETTELEPHONE:
(760) 243-1400
CITY:VICTORVILLESTATE: CAZIP CODE:
92307
CAPACITY: 90CENSUS: 53DATE:
05/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:49 AM
MET WITH:Therese KragnessTIME COMPLETED:
11:10 AM
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Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection, with an emphasis on infection control due to the COVID-19 pandemic.

LPA Gardner met with Program Director Therese Kragness who confirmed that there is currently one (1) cases/exposure of COVID-19 within the facility. At the time of visit there were eleven (11) staff and three (3) clients present. The day program has a total of fifty-three (53) clients enrolled. There are twelve (12) clients enrolled for in-person services and thirty-seven (37) enrolled in remote services. There are (4) four clients that are on the roster, but not actively attending remote or in-person services.

LPA Gardner toured the facility inside and out and went over COVID-19 best practices for infection control and prevention with Therese Kragness. LPA Gardner observed that all staff members were properly fitted with face coverings. The clients have hand sanitizer available to them and the bathrooms were stocked with hand soap and paper towels. LPA Gardner observed the facility to have multiple postings throughout the facility for cough etiquette, proper hand washing procedure, and social distancing. The facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolating/quarantining clients, and properly caring for clients with COVID-19 positive results and/or exposures. The facility has a designated infection control person who is responsible for ensuring that the facility is compliance with infection control practices. LPA Gardner requested to inspect the facility's Personal Protective Equipment (PPE) supply, which was located in the staff office. The facility has a full thirty (30) day supply of PPE items such as gloves, face shields, gowns, surgical masks, N95 masks, disinfectant, and hand sanitizer.

All clients and staff are practicing all other COVID-19 precautions, which minimize the risk of them contracting COVID-19.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: INNOVATIVE BUSINESS PARTNERSHIPS, INC.
FACILITY NUMBER: 366405698
VISIT DATE: 05/24/2022
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Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report was discussed and provided to Program Director Therese Kragness.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Ryan Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022
LIC809 (FAS) - (06/04)
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