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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366405698
Report Date: 08/15/2024
Date Signed: 08/15/2024 10:38:05 AM

Document Has Been Signed on 08/15/2024 10:38 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:INNOVATIVE BUSINESS PARTNERSHIPS, INC.FACILITY NUMBER:
366405698
ADMINISTRATOR/
DIRECTOR:
THERESE M. KRAGNESSFACILITY TYPE:
775
ADDRESS:17191 JASMINE STREETTELEPHONE:
(760) 243-1400
CITY:VICTORVILLESTATE: CAZIP CODE:
92307
CAPACITY: 90CENSUS: 25DATE:
08/15/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:09 AM
MET WITH:Therese M Kragness and Frances FelixTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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Licensing Program Analysts (LPAs) Mary Rico and Sarina Ramirez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Program Director Therese M. Kragness and Supervisor Frances Felix and was granted entry to the facility. At the time of the visit there was (8) staff, and (25) clients present. The facility is an Adult Day Program (ADP) facility. Licensed capacity is (90) current census (27). LPA was accompanied by Program Director Therese M. Kragness to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected six (6) client/staff bathrooms and five (5) activity rooms which had sufficient lighting throughout the facility. Activity rooms were equipped with all materials and supplies for clients at Day Program. Facility is equipped with operating smoke detectors and carbon monoxide alarms.Fire drills have been conducted every six months. Hot temperature tested at 110 degrees. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for client/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service: At Day Program, clients are responsible to bring their own lunch. Facility has emergency snacks, and emergency water available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Day Program has sufficient care staff coverage for Monday through Friday. All staff members working in the facility have criminal recorded clearance through the department.Record Review: LPA reviewed (7) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for training's, and health screenings.

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 (LIC809) was discussed and provided to Facility Program Director Therese M. Kragness and Supervisor Frances Felix.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2024
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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