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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 371881461
Report Date: 04/04/2024
Date Signed: 04/04/2024 11:02:48 AM

Document Has Been Signed on 04/04/2024 11:02 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:CENTER FOR THE ARTS AND ADULT EDUCATION, THEFACILITY NUMBER:
371881461
ADMINISTRATOR/
DIRECTOR:
HERENDEEN, CYNTHIAFACILITY TYPE:
775
ADDRESS:555 DEER SPRING ROADTELEPHONE:
(760) 721-1706
CITY:SAN MARCOSSTATE: CAZIP CODE:
92069
CAPACITY: 200CENSUS: 0DATE:
04/04/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Dr. John McCarthyTIME VISIT/
INSPECTION COMPLETED:
11:13 AM
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Licensing Program Analyst (LPA) Sara Martinez conducted an announced visit for the purpose of conducting the prelicensing inspection. LPA met with applicant Dr John McCarthy to conduct a tour of the buildings. The applicant is seeking a change of location application for an adult day program care for the adults with a capacity for two hundred (200) residents, ages 18 to 59.

LPA conducted a walk through of the interior of the facility. The facility is located in building E and building F. Building E will be the performing arts building with a theater, multiple dressing rooms, two (2) two music studios, art studios, and 2 sensory studios for clients in care. LPA observed multiple bathrooms and one (1) unisex shower throughout the building with hot water temperature meeting department requirements. Building F will be the fine arts building that will contain multiple art studios, a full kitchen and dining area, and a nurse's room with multiple cabinets to lock and centrally store client medications. LPA observed multiple bathrooms and two (2) showers throughout the building. LPA observed pathways, ramps, and fire exits were free from obstructions. Facility contains charged and inspected fire extinguishers located throughout the facility and contains a fire alarms system and dual carbon monoxide alarms through the facility. The activity rooms were observed to have enough seating and activity space for clients. LPA observed the bathroom in the facility to have hand hygiene supplies and personal care items for future clients. Building E and building F will each have a locked storage and janitor room that will contain cleaning supplies to conduct regular cleaning of the facility. The facility contains a laundry room for clients. Facility will contain outside seating areas and activity areas for the clients in care.

LPA observed that the physical plant is clean and in good repair during today’s visit. LPA has determined that the facility met the operational requirements for licensure. The Pre-licensing inspection is complete, and the facility has no deficiencies. The facility has satisfied all requirements in accordance with Title 22, California Code of Regulations.
An exit interview was conducted and a copy of this reported was provided to Dr. McCarthy.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Sara Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/04/2024
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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