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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 392701425
Report Date: 07/23/2026
Date Signed: 07/24/2026 09:25:35 AM

Document Has Been Signed on 07/24/2026 09:25 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:AIM HIGHER, INC.FACILITY NUMBER:
392701425
ADMINISTRATOR/
DIRECTOR:		TANYA MONGEFACILITY TYPE:
775
ADDRESS:2609 E. HAMMER LANETELEPHONE:
(916) 995-5164
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY: 70CENSUS: 64DATE:
07/23/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Sandra SothTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA) Albert Johnson conducted an unannounced annual Inspection. LPA met with Sandra Soth Program Manager.

LPA and SS 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 118.5 degrees F. in bathroom. The facility provides snacks throughout the day for the clients. Fire drill was last conducted on 6/18/2026. The facility does administer medications currently for clients and controls P& I monies for clients.

Exits were observed to be accessible to clients and free from obstructions. LPA observed smoke alarms interconnected with the fire department. Fire extinguishers were serviced and current for 2026. There was a required ABC extinguisher in the FACP room, extinguisher to be placed in the break room and the fire risers are out of compliance. The riser are missing the annual and the five year sticker.

First aid kit observed to be complete. LPA reviewed 10 client and 8 staff files including three drivers. During the file review for the resident LPA observed outdated medication for R2 and no restricted health care plan for R1.

Deficiencies were cited on today's inspection. Advisories given.

An exit interview was conducted and appeal rights given.
Lisa Rios
Albert Johnson
DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/23/2026
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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Document Has Been Signed on 07/24/2026 09:25 AM - It Cannot Be Edited


Created By: Albert Johnson On 07/23/2026 at 03:03 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: AIM HIGHER, INC.
FACILITY NUMBER: 392701425

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/24/2026
Section Cited
CCR
82020

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82020 Fire Clearance

All day programs shall secure through the licensing agency and maintain a fire clearance approved by the city or county fire department, the district providing
fire protection services, or the State Fire Marshal.
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Administrator shall address the deficiencies cited and service fire extinguisher, fire risers etc.. and submit new tags by POC date showing corrections have been made.
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This requirement is not met as evidenced by observation and records reviewed the fire risers have no stickers for the five year or the annual inspection. This is an immediate safety risk.
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If additional time is needed please email your request for an extension by 7/24/2026.
Type B
08/06/2026
Section Cited
CCR82092.2(a)(1-9)

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82092.2 Restricted Health Condition Care Plan

(a) The licensee who chooses to care for a client with a restricted health condition may use a copy of the Restricted Health Care Plan from the
client's residential setting provided that the information required in Section 82092.2(a)(4), specific to the day program, is added. If the client does
not have a Restricted Health Condition Care Plan, the licensee must develop a plan. The plan must include all of the following:
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Licensee/Administrator shall submit an updated health care plan for R1 with a restricted health condition. This shall be done by POC date 8/6/2026
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(1) Documentation that the client and the client's authorized representative, if any, the client's physician or a licensed professional designated by the physician, and the placement agency, if any, participated in the development of the plan.

(2) Documentation by the client's physician or a licensed professional designated by the physician, of the following:
(A) Stability of the medical condition.
(B) Medical conditions that require services or procedures.
(C) Specific services needed.
(D) Client's ability to perform the procedures.
(E) The client does not require 24-hour nursing care and/or monitoring.
(3) Identification of a licensed professional who will perform procedures if the client needs medical assistance.
(4) Identification of the person(s) who will perform incidental medical assistance that does not require a licensed professional.
(5) Name and telephone number of emergency medical contacts.....thru (9). This requiremnet was not met as observed during file review.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Lisa Rios
NAME OF LICENSING PROGRAM MANAGER:
Albert Johnson
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/23/2026


LIC809 (FAS) - (06/04)
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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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