<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392700577
Report Date: 05/16/2023
Date Signed: 05/16/2023 01:26:14 PM

Document Has Been Signed on 05/16/2023 01:26 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:HORIZON DAY PROGRAMFACILITY NUMBER:
392700577
ADMINISTRATOR:CHRISTOPHER YARRUHSFACILITY TYPE:
775
ADDRESS:2200 N EL DORADO STTELEPHONE:
(916) 743-9292
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY: 60CENSUS: 30DATE:
05/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Elinore Ramas - Registered Nurse (RN)TIME COMPLETED:
02:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Ruth Wallace conducted unannounced Required 1 Year Annual Inspection Visit. LPA met with RN and explained the purpose of the visit.

LPA and RN toured the facility including but not limited too, activity rooms, a common area, kitchen area and facility bathrooms. LPA observed the rooms were clean, organized and in good repair. Hot water temperature measured at 114.6 degrees F. in bathroom. The facility provides snacks throughout the day for the clients. There are six restricted health care plans in place for clients at day program.

Fire drill was last conducted on April 18, 2023. The facility does administer medications currently for one client. The facility does not keep P& I monies for clients. Exits were observed to be accessible to clients and free from obstructions. LPA observed smoke alarms and carbon monoxide detectors interconnected with the fire department. Fire extinguishers were mounted and charge expiration date of . First aid kit observed to be complete. LPA reviewed three client and three staff records files.

Based on today’s inspection, Per California Code of Regulations, Title 22 Division 6, Chapter 8, no deficiencies were observed or cited today.

An exit interview was conducted with RN and a copy of report given.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Ruth Wallace
LICENSING EVALUATOR SIGNATURE: DATE: 05/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1