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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392701348
Report Date: 01/26/2024
Date Signed: 01/26/2024 11:55:45 AM

Document Has Been Signed on 01/26/2024 11:55 AM - 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:TURNING POINT COMMUNITY PROGRAMS - SAGE VILLAGE IFACILITY NUMBER:
392701348
ADMINISTRATOR:STEVENS, STACIFACILITY TYPE:
772
ADDRESS:7224 S RECOVERY ROADTELEPHONE:
(916) 364-8395
CITY:FRENCH CAMPSTATE: CAZIP CODE:
95231
CAPACITY: 16CENSUS: 0DATE:
01/26/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Staci Stevens, Darin Hassig, and Leslie SpringerTIME COMPLETED:
12:15 PM
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On January 26, 2024, Licensing Program Analyst (LPA) Avelina Martinez arrived announced to conducted a Pre-Licensing Inspection of the facility to ensure compliance with Title 22 regulations. LPA Avelina Martinez met with Staci Stevens, Darin Hassig, and Leslie Springer, who assisted LPA Martinez in today’s inspection.

Facility has a capacity for 16 clients. The fire clearance is for twelve (12) ambulatory clients and four (4) non-ambulatory clients. Rooms 1, 2, 3, and 4 are allowed four clients per room. Each room has a fire clearance for one non-ambulatory client. The facility has an approved Social Rehab Facility (SRF) waiver to increase occupancy of four (4) bedrooms. The occupancy of four (4) bedrooms from two (2) clients to four (4) clients. Additionally, this SRF is a six (6) month program.

Staci Stevens will be the Administrator of this facility. The facility administrator’s certificate is current and expires on 03/12/2024. Staci Stevens is currently working on submitting their Administrator recertification application to the Department.

This facility is located next to Tuning Point community programs Sage Village 2, which both facilities will have Staci Stevens appointed as the Administrator. Sage Village 1 and 2 have the same facility layout.

LPA Martinez toured the facility with the following individuals: Staci Stevens, Darin Hassig, and Leslie Springer. LPA Martinez inspected the interior and the exterior of the facility including the common living spaces, resident bedrooms and bathrooms, and dinning area.

During today's inspection, the facility was sanitary and all common areas were furnished. Resident bedrooms and bathrooms were furnished and sanitary. The facility has a locked room for medication storage. In addition, the facility has a first aid kit, which is complete. The facility fire extinguishers and carbon detectors are in good repair. The facility has a December 28, 2023 approved fire clearance.

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SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2024
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
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: TURNING POINT COMMUNITY PROGRAMS - SAGE VILLAGE I
FACILITY NUMBER: 392701348
VISIT DATE: 01/26/2024
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The facility does not have a kitchen, and all meals were will be provided by a third party. Meal preparation plan can be found on the Plan of Operation. The facility has a dinning room, and has an area for snacks and small meals storage.

The facility has no large bodies of water. The facility does not have a well system. The exterior of the facility is in good repair.

The applicant has passed the pre-licensing component of the application process. LPA Martinez will notify the Central Application Bureau (CAB) that the pre-licensing has been completed and passed. Component 3 has been waived. The Administrator/Licensee has previously completed component 3. An exit interview was conducted, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC809 (FAS) - (06/04)
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