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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604349
Report Date: 12/30/2024
Date Signed: 12/30/2024 03:36:15 PM

Document Has Been Signed on 12/30/2024 03:36 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:HEALTHY OPPORTUNITIES PROGRESSIVE EDUCATION INC.FACILITY NUMBER:
374604349
ADMINISTRATOR/
DIRECTOR:		CAMACHO, ARTUROFACILITY TYPE:
775
ADDRESS:2530 MAIN ST. SUITE ATELEPHONE:
(619) 349-2682
CITY:CHULA VISTASTATE: CAZIP CODE:
91911
CAPACITY: 60CENSUS: 31DATE:
12/30/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Site Coordinator Michelle Islas and Assistant Program Director Cynthia VasquezTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Site Coordinator Michelle Islas. LPA then met with Assistant Program Director Cynthia Vasquez, who arrived later during the visit.

According to the adult day program’s (ADP) license, the ADP facility has a maximum capacity of sixty (60) clients, of which all must be ambulatory. Per LPA observation, sampled LIC602 Physician’s Reports, and staff interviews: During today’s inspection, there were a total of thirty-one (31) clients in care, of whom all were ambulatory. The day program’s license does not include endorsements for delayed-egress doors or secured perimeter, and none of these were present at the ADP site.

LPA reviewed records for multiple clients and multiple staff. LPA interviewed multiple clients and multiple staff. LPA, accompanied by Licensee’s staff, also toured the interior and exterior of the facility, and inspected all common areas and offices. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows, toilets, and sinks were all working. Extra hygiene supplies were present. The facility had sufficient space and equipment to facilitate snacks, visitation, meetings, and client activities.

The facility’s ambient internal temperature was complaint at 69 F. Where tested, hot water temperature at taps accessible to clients were all compliant: Restroom #1 Sink was 107.7 F, Restroom #2 Sink was 107.3 F, Restroom #3 Sink was 105.3 F, and Restroom #4 Sink was 105.9 F. The staff’s Kitchen Sink was also compliant at 115.1 F. Appliances to preserve perishable food were also all compliant in temperature: Refrigerator was 40 F and Freezer was 0 F. For those clients who do not bring their own lunch, the ADP had extra supplies of food and disposable plates/utensils present, all safely stored. [CONTINUED ON LIC 809-C]
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE: DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/30/2024
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
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: HEALTHY OPPORTUNITIES PROGRESSIVE EDUCATION INC.
FACILITY NUMBER: 374604349
VISIT DATE: 12/30/2024
NARRATIVE
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[CONTINUED FROM LIC 809]

There were no dangerous objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. Confidential records were stored in locked areas. No fireplaces or pools/bodies of water were observed on the premises. Per the Licensee, no firearms or ammunition are kept at the facility. Fire detection system, carbon monoxide detector, emergency lighting, and facility telephone were all working. The facility’s fire extinguishers were serviced within the last twelve (12) months. Required licensing postings were observed in visible areas of the facility. Fire/disaster drills were performed at required intervals. Licensee presented proof of current business liability insurance.

During the facility tour, LPA observed that Licensee had bottled water inside the ADP’s kitchen area. However, the kitchen area was locked and not directly accessible to clients. Licensee’s large portable water dispenser container was also empty and stored inside the locked kitchen area. Regulation requires that “drinking water from a noncontaminating fixture or container” be “readily available” to clients.

LPA review of records and manager interview showed: Although there were reserve supplies of Personal Protective Equipment (PPE) present, Licensee did not have proof that ADP staff were trained on Infection Control practices, which was required to be done within ten (10) calendar days of employment. Licensee had not trained its staff on its written Emergency Disaster Plan within the last year, as required. Licensee also did not describe/articulate in ADP’s Admissions Agreement the program’s “policy for visitors,” and post such policy in a prominent area “accessible to clients and their visitors,” as required.

Three (3) deficiencies were cited per California Code of Regulations, Title 22, and one (1) deficiency was cited per California Health and Safety Code (refer to the LIC 809-D pages). Plans of Correction were jointly developed with the Licensee. LPA also issued Technical Assistance (TA) regarding conducting refreshed training on Mandated Reporter requirements for staff (refer to the LIC9102-TA page).

An exit interview was conducted with Michelle Islas and Cynthia Vasquez. A copy of this report, the LIC 809-D pages, the LIC9102-TA page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided to Licensee during today's visit.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dang Nguyen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 12/30/2024 03:36 PM - It Cannot Be Edited


Created By: Dang Nguyen On 12/30/2024 at 02:50 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: HEALTHY OPPORTUNITIES PROGRESSIVE EDUCATION INC.
FACILITY NUMBER: 374604349

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/30/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82095.5(c)(1)
82095.5 Infection Control Practices: “(c)(1) Initial training requirements for new facility staff shall be addressed in the [Infection Control Training Plan], with training to be provided by the Infection Control Lead within 10 calendar days of employment.” This requirement was not met, as evidenced by:
Deficient Practice Statement
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Based on records review and manager interview, Licensee did not ensure that 8 of 8 facility staff (Staff #1 through Staff #8) were trained by the Infection Control Lead (or their designee) on infection control practices within 10 calendar days of employment. This posed a potential health risk to 31 of 31 clients (Client #1 through Client #31) in care.
POC Due Date: 01/30/2025
Plan of Correction
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Licensee agreed to train all current staff on both its written Infection Control Plan and Personal Protective Equipment (PPE). The training will include hands-on practice and will cover: a) handwashing, b) how and how often to disinfect commonly touched surfaces, c) how to correctly don and doff surgical masks, N-95 respirators, face shields, gowns, and gloves, and d) how perform an N-95 seal check. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date. Going forward, Licensee agreed to add and document these training topics during new hire orientation.
Type B
Section Cited
HSC
1565(b)
Health and Safety Code 1565: “(b) If a facility employs staff, the facility shall provide training on the plan to each staff member upon hire and annually thereafter. The training shall include staff responsibilities during an emergency or disaster.” This requirement was not met, as evidenced by:
Deficient Practice Statement
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Based on records review and manager interview, Licensee did not ensure that 8 of 8 facility staff (Staff #1 through Staff #8) were trained on the facility's written emergency and disaster plan at least annually. This posed a potential safety risk to 31 of 31 clients (Client #1 through Client #31) in care.
POC Due Date: 01/30/2025
Plan of Correction
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Licensee agreed to train all current staff on the facility's LIC610D Emergency and Disaster Plan. Licensee agreed to E-mail the training sign-in sheet to LPA, by the POC due date. Going forward, Licensee agreed to repeat this training at least annually, and to add and document this topic as part of new hire orientation.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lizzette Tellez
LICENSING EVALUATOR NAME:Dang Nguyen
LICENSING EVALUATOR SIGNATURE:
DATE: 12/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/30/2024


LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 12/30/2024 03:36 PM - It Cannot Be Edited


Created By: Dang Nguyen On 12/30/2024 at 02:53 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: HEALTHY OPPORTUNITIES PROGRESSIVE EDUCATION INC.
FACILITY NUMBER: 374604349

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/30/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
82072(c)
82072 Personal Rights: “(c)…the policy for visitors as stated in the admissions agreement, shall be prominently posted in areas accessible to clients and their visitors.” This requirement was not met, as evidenced by:
Deficient Practice Statement
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Based on records review and manager interview, Licensee did not state in its admissions agreement the day program’s policy for visitors, or prominently post such policy in an area accessible to clients and their visitors. This posed a potential personal rights risk to 31 of 31 clients (Client #1 through Client #31) in care.
POC Due Date: 01/30/2025
Plan of Correction
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Licensee agreed to add a brief paragraph describing the ADP’s visitor policy to its existing Admissions Agreement, and to E-mail a copy of this agreement to LPA for review, by the POC due date. Licensee also agreed to then copy this specific paragraph and post it, in large font, on the bulletin board by the facility entrance.
Type B
Section Cited
CCR
82088.2(a)
82088.2 Drinking Water: "(a) Drinking water from a noncontaminating fixture or container shall be readily available both indoors and outdoors." This requirement was not met, as evidenced by:
Deficient Practice Statement
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Based on LPA observation and manager interview, Licensee did not ensure that drinking water from a noncontaminating fixture or container was readily available both indoors and outdoors. This posed a potential health and personal rights risk to 31 of 31 clients (Client #1 through Client #31) in care.
POC Due Date: 12/30/2024
Plan of Correction
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During today’s visit, Licensee relocated the large water dispenser container to the main activity room used by clients, resolving the deficiency. Going forward, Licensee agreed to: a) provide disposable cups to accompany the container, b) instruct staff to fill this container with clean drinking water every day before program session starts, and c) to instruct staff to empty and clean this container at the end of each day program session.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lizzette Tellez
LICENSING EVALUATOR NAME:Dang Nguyen
LICENSING EVALUATOR SIGNATURE:
DATE: 12/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/30/2024


LIC809 (FAS) - (06/04)
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