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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700551
Report Date: 07/16/2021
Date Signed: 07/17/2021 09:45:30 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:CAMLU ASSISTED LIVINGFACILITY NUMBER:
392700551
ADMINISTRATOR:WHITTED, ALMAFACILITY TYPE:
740
ADDRESS:6037 N PERSHING AVETELEPHONE:
(209) 951-2030
CITY:STOCKTONSTATE: CAZIP CODE:
95207
CAPACITY:96CENSUS: 60DATE:
07/16/2021
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Alma Whitted, Executive DirectorTIME COMPLETED:
11:40 AM
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On 07/16/2021 at 10:45 AM , Licensing Program Analyst (LPA) Bruce Jacobs arrived unannounced to conduct a Health and Safety visit based on a report that the air conditioning system in the facility is inoperable. LPA met with Administrator and explained the purpose of today’s inspection. LPA was allowed entry into the facility that is licensed to serve a total capacity of 96 clients. Current Census is 60.

The purpose of the visit was to check on the temperature in the facility as Licensing was informed the air conditioning system needs repair. LPA measured the temperature to be at 78*F in the common areas, dining area, activity area hallways and offices. The facility stated they submitted a special incident report for a current infectious disease outbreak and for that reason, LPA Jacobs did not enter resident's rooms. The County Department of Public Health has been notified of the possible outbreak. The facility has purchased 70 portable air conditioning units, one for each room and several large portable cooling units until the AC system is repaired/replaced. Temperatures was within regulatory range of 68*F to 85*F.

Per the California Code of Regulations, Title 22, Division 6, no deficiencies observed or cited. Exit interview held, copy of report given.

SUPERVISOR'S NAME: Liza KingTELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Bruce JacobsTELEPHONE: (916) 956-5861
LICENSING EVALUATOR SIGNATURE:

DATE: 07/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2021
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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