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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374600990
Report Date: 09/13/2022
Date Signed: 09/13/2022 01:46:53 PM

Document Has Been Signed on 09/13/2022 01:46 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:OPPORTUNITIES UNLIMITEDFACILITY NUMBER:
374600990
ADMINISTRATOR:LYS L. BARAWIDFACILITY TYPE:
775
ADDRESS:1718 E. VALLEY PARKWAYTELEPHONE:
(760) 747-5112
CITY:ESCONDIDOSTATE: CAZIP CODE:
92027
CAPACITY: 75CENSUS: 25DATE:
09/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Mary Grace Winters, Program ManagerTIME COMPLETED:
01:55 PM
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Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to conduct an annual inspection with emphasis on infection control. LPA met Mary Grace Winters, Program Manager with and explained the purpose of today’s visit. The facility has a Mitigation Plan Report on file as well as an Infection Control Plan as required. Program participants were not present during today's visit however, there are twenty-five (25) participants who are enrolled for services. Program participants are in house Mondays, Wednesdays, and Fridays.

During the inspection, LPA observed appropriate COVID-19 postings at the facility front entrance and throughout the facility itself. The facility has a COVID-19 symptom and temperature screening process in place which was in accordance with the Department's guidelines. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). LPA observed facility staff wearing appropriate face coverings. As documented in the facility's Mitigation Plan Report (Report), the facility has a designated infection control lead person/infection preventionist who has been tasked with tracking all COVID-19 cases and/or suspected cases, ensuring staff are trained in the facility's infection control procedures, and ensuring infection control measures are implemented. Also detailed in the Report, the facility has a plan in place which follows Community Care Licensing Division guidelines for COVID-19 testing, isolation, and properly caring for program participants and staff with COVID-19 positive results and/or exposures. Additionally, the Report describes the facility's plan to monitor program participants regularly for any changes in condition and to subsequently notify the program participant's physician, emergency personnel, and responsible party in the event the program participant presents with any COVID-19 symptoms.

No deficiencies were cited during today's visit. An exit interview was conducted, and a copy of this report was provided along.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE: DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/13/2022
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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