<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366425634
Report Date: 10/14/2024
Date Signed: 10/14/2024 10:21:50 AM

Document Has Been Signed on 10/14/2024 10:21 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 ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:PLUM LANE LEARNING CENTERFACILITY NUMBER:
366425634
ADMINISTRATOR/
DIRECTOR:		ANNALISA SIALANAFACILITY TYPE:
775
ADDRESS:1711 PLUM LANE, UNIT CTELEPHONE:
(909) 798-4003
CITY:REDLANDSSTATE: CAZIP CODE:
92374
CAPACITY: 30CENSUS: 30DATE:
10/14/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:02 AM
MET WITH:Administrator Annalisa SialanaTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced required annual visit to the facility. LPA met with Administrator Annalisa Sialana, and discussed the purpose of the visit.

The facility is an Adult Day Program with a license capacity of 30 and a current census of 26 clients. LPA conducted an overall inspection, which included, but was not limited to the following:


The program facility is in good repair and operating at a comfortable temperature. Facility passageways are clear and free of obstructions. Facility has sufficient space for clients activities. Client activities include arts and crafts, board games, watching movies, and community outings.

LPA inspected client bathrooms. Bathrooms are operating in a clean and sanitary condition. The hot water temperature in bathrooms tested between 107 and 115 degrees F.

LPA inspected facility kitchen. Kitchen is clean and free of odors. Snacks are accessible to clients and stored in a healthful manner.

The facility has operating telephone services and laundry equipment on the premises. Emergency telephone numbers, evacuation plans, personal rights, and compliant poster are posted in a common area. Facility evacuation drill was conducted on 10/02/24. Facility has a complete first aid kit. Facility has sufficient personal protective equipment and personal hygiene products for clients in care. Disinfectants and cleaning solutions are kept locked and inaccessible to clients in care.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/14/2024
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 1