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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392701110
Report Date: 02/02/2023
Date Signed: 02/02/2023 03:12:06 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/02/2023 03:12 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
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:LIFE PATHWAY VOCATIONAL DEVELOPMENT CENTERFACILITY NUMBER:
392701110
ADMINISTRATOR:ENUNWA, JOHNFACILITY TYPE:
775
ADDRESS:9305 THORNTON ROAD SUITE ETELEPHONE:
(310) 953-1378
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY: 30CENSUS: 0DATE:
02/02/2023
TYPE OF VISIT:Annual/RandomANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:JOHN ENUNWATIME COMPLETED:
03:00 PM
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“Licensing Program Analyst (LPA) Kesha Lewis made an announced visit on this day at approximately 1:00pm for the purpose of conducting an annual inspection. An annual inspection attempt was previously conducted on 01/11/2023. Administrator Certificate # 60044919735 expires 07/14/2023.

LPA Lewis met with JOHN ENUNWA, an observed the following
· Covid precautions being followed
· Interior and exterior of the plant
· Medications were observed to have a place to be locked up
· Fire extinguisher fully charged.
· Smoke detectors all operational.
· Hot water temperature measured 110 degrees.
- First aid kit was in compliance

Facility is not currently open at this time they are still awaiting approval from VMRC. LPA Observed there to be no clients at this time. There is no staff at this time.

There are no Health and Safety concerns at this time. Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed during this visit. An exit interview was held, and a copy of the report was emailed to JOHN ENUNWA.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE: DATE: 02/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/02/2023
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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