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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380502679
Report Date: 03/20/2025
Date Signed: 03/20/2025 03:26:42 PM

Document Has Been Signed on 03/20/2025 03:26 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 BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:PROGRESS FOUNDATION - LA AMISTADFACILITY NUMBER:
380502679
ADMINISTRATOR/
DIRECTOR:		AMARIS CANOFACILITY TYPE:
772
ADDRESS:2481-2483 HARRISON STREETTELEPHONE:
(415) 285-8100
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 13CENSUS: 10DATE:
03/20/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:13 PM
MET WITH:Eduardo GudinoTIME VISIT/
INSPECTION COMPLETED:
03:50 PM
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On March 20, 2025, Licensing Program Analyst (LPA) Yi Sam Jian conducted an unannounced annual inspection. LPA met with Program Director, Eduardo Gudino and explained the purpose of the visit.

LPA toured the facility. Facility is a three-story house with 7 bedrooms and 4 bathrooms for the clients. The indoor and outdoor passageways were free of obstruction. No accessible bodies of water of fire safety hazards observed. LPA observed living room, dining room, kitchen, office room, staff office, washer, dryer, and communal area. LPA observed 2 days for perishables and 7 days non-perishables. Extra linen was observed. First aid kit was present and observed completed.

A comfortable temperature is maintained, and lighting is sufficient for comfort. Hot water throughout the facility inspected to be compliant throughout the facility.

Sharps, toxins and medications were locked and inaccessible to residents. Carbon monoxide monitors are working properly. All fire extinguishers have been inspected and charged.

LPA reviewed 5 resident records and 5 staff records. Resident records are updated, complete and signed. Medication review was done, and all medications are accounted for. Technical Advisory for the documentation of quarterly drills.

No citations are issued during the visit. Report is reviewed with Program Director and a copy is provided.

SUPERVISORS NAME: Andrea Medlin
LICENSING EVALUATOR NAME: Yi Sam Jian
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
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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