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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374603800
Report Date: 08/01/2022
Date Signed: 08/01/2022 01:55:52 PM

Document Has Been Signed on 08/01/2022 01:55 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:UNYEWAY INCFACILITY NUMBER:
374603800
ADMINISTRATOR:SWAFFORD, MARGIEFACILITY TYPE:
775
ADDRESS:1689 BROADWAY SUITE 106TELEPHONE:
(619) 691-6346
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 210CENSUS: 52DATE:
08/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:51 AM
MET WITH:Case Manager, Lorena Madriz and Program Manager, Blanca VasquezTIME COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) Elizabeth Hamilton conducted an annual required licensing inspection. This annual inspection was focused on infection control due to the COVID-19 pandemic. LPA gained access to the facility and identified herself to Case Manager, Lorena Madriz. Program Manager, Blanca Vasquez arrived during the visit. LPA explained the purpose of the visit. This facility provides day program services to two hundred and ten (210) disabled adults age 18 and over; one hundred and fifty (150) of whom may be non-ambulatory.

During today's visit, LPA and Case Manager, Lorena Madriz toured the facility, and verified compliance with infection control practices. LPA and Case Manager, Madriz reviewed the facility’s COVID-19 Mitigation Plan Report. LPA observed one central entry point for universal entry screening for clients and another for staff and visitors; routine symptom screening initiated at entry for staff, clients and visitors; a sign-in policy enacted for all visitors; signs posted throughout the facility to promote hand hygiene, cough/sneeze etiquette and physical distancing; face coverings worn by staff and clients; hand sanitizer/hand washing stations readily available; a designated visitation area; and an adequate supply of PPE and disinfectants.

Based on today's visit, no deficiencies were observed in the areas evaluated above. An exit interview was conducted with Madriz and Vasquez and a copy of this report along with the Licensee/Appeal Rights (LIC 9058) was provided at the facility.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Elizabeth Hamilton
LICENSING EVALUATOR SIGNATURE: DATE: 08/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/01/2022
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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