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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604303
Report Date: 02/26/2024
Date Signed: 02/28/2024 04:23:23 PM

Document Has Been Signed on 02/28/2024 04:23 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:SOPHIE'S ART GALLERYFACILITY NUMBER:
374604303
ADMINISTRATOR:EMERSON, DEBRAFACILITY TYPE:
775
ADDRESS:140 EAST MAIN STTELEPHONE:
(619) 442-5129
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY: 50CENSUS: 20DATE:
02/26/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Art Program Manager Erin PerschbacherTIME COMPLETED:
01:30 PM
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Licensing Program Analyst (LPA) Juliana Barfield 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 Art Program Manager Erin Perschbacher with whom LPA discussed the purpose of the visit.


According to the facility’s license, there may be a maximum of fifty (50) developmentally disabled adults ages 18 and above; six (6) of whom may be non-ambulatory. During today’s inspection, there were twenty (20) clients present at the day program site. The facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by Erin Perschbacker, toured the interior of the day program facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. There are two (2) working bathroom in the facility. Doors, windows, sinks, and toilets were in working order. Hand hygiene supplies and Personal Protective Equipment were present. Facility does not prepare food on the premises and consumers bring their own lunches. Snacks are available as needed. The facility had sufficient space and equipment to facilitate meetings and client activities. The facility’s ambient internal temperature was comfortable and compliant with Regulations. Hot water temperature at taps accessible to clients were also compliant.

There were no sharp objects or toxic chemicals/poisons accessible to clients. No pools or bodies of water were observed on the premises. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguishers were serviced within the last 12 months. First aid kit was complete and readily accessible.

[CONTINUED ON LIC809-C]

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Juliana Barfield
LICENSING EVALUATOR SIGNATURE: DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2024
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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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: SOPHIE'S ART GALLERY
FACILITY NUMBER: 374604303
VISIT DATE: 02/26/2024
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[CONTINUED FROM LIC809]

The facility is able to ensure that each client receives necessary first aid and other needed medical or dental services, including arrangement for and/or provision of transportation to the nearest available services.

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 that clients were being treated with dignity by staff, and there were sufficient staff on duty to meet residents 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 Perschbacher. A copy of this report along with Licensee/Appeal Rights (LIC 9058 01/2106), and their signature on this form acknowledges. A copy of the report was given to the Art Program Manager Erin Perschbacher .

SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Juliana Barfield
LICENSING EVALUATOR SIGNATURE:

DATE: 02/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2024
LIC809 (FAS) - (06/04)
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