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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370808372
Report Date: 12/01/2023
Date Signed: 12/01/2023 12:32:35 PM

Document Has Been Signed on 12/01/2023 12:32 PM - 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 DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:UNYEWAY, INC.-ADULT DEVELOPMENT CENTERFACILITY NUMBER:
370808372
ADMINISTRATOR:DYE, JODYFACILITY TYPE:
775
ADDRESS:11440 RIVERSIDE DR, A-D & I-KTELEPHONE:
(619) 562-6330
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 224CENSUS: 100DATE:
12/01/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Director, Josy DyeTIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced Required Annual Inspection to ensure substantial compliance with Title 22 regulations. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Director Jody Dye.

According to the facility’s license, there may be a maximum of two hundred twenty-four (224) developmentally disabled adults ages 18 and above; of which one hundred eighty (180) may be non-ambulatory. The facility has three (3) separate building that house 5 components. The facility does not feature a secured perimeter or delayed egress doors.

LPA’ accompanied by Director Dye, toured the interior and exterior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. There are ten (10) working bathrooms in the facility. Doors, sinks, and toilets were in working order. LPA observed supply closet with a surplus of incontinence supplies throughout the buildings for daily as well as emergency use. LPA observed several areas that are available for privacy such as changing, rest, phone calls and de-escalation.

There were no sharp objects or toxic chemicals/poisons accessible to clients. No pools or bodies of water were observed on the premises. All fire and carbon monoxide detectors are working. Emergency lighting, and facility telephone were all working. Fire extinguishers were operable. First aid kits were complete and readily accessible.

[CONTINUED ON LIC809-C]

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2023
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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: UNYEWAY, INC.-ADULT DEVELOPMENT CENTER
FACILITY NUMBER: 370808372
VISIT DATE: 12/01/2023
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[CONTINUED FROM LIC809]

LPA interviewed multiple staff and clients. LPA interviews did not raise any licensing concerns. LPA also reviewed multiple staff and client records/files. Files reviewed contained required documents. Confidential records were stored in locked areas. Required licensing postings were observed in visible areas of the facility. LPA observed consumers were being treated with dignity by staff, and there were sufficient staff on duty to meet consumers’ needs.

Based on today's inspection there are no deficiencies observed at this time in the areas evaluated. An exit interview was conducted, this report was discussed with Director Dye along with a copy of the Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges receipt and a copy of the report was given to Director Dye.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2023
LIC809 (FAS) - (06/04)
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