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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 397000377
Report Date: 11/29/2022
Date Signed: 11/29/2022 11:50:22 AM

Document Has Been Signed on 11/29/2022 11:50 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:VICTOR LEARNING CENTERFACILITY NUMBER:
397000377
ADMINISTRATOR:JAN SNELLFACILITY TYPE:
775
ADDRESS:3849 N. ALVARADOTELEPHONE:
(209) 941-1800
CITY:STOCKTONSTATE: CAZIP CODE:
95204
CAPACITY: 140CENSUS: 111DATE:
11/29/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:07 AM
MET WITH:Joseph CravenTIME COMPLETED:
12:05 PM
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On 11/29/22 at 10:07am, Licensing Program Analyst (LPA) Michael Bilger arrived at this facility unannounced to conduct an annual inspection visit. LPA met with the program director Joseph Craven and explained the purpose of the visit.

LPA Bilger inspected the physical plant including but not limited to the client classrooms; bathrooms, and outside area of the facility to ensure compliance with Title 22 regulations. Facility is an adult day program with a capacity of 140 with a current census of 111. Facility has 7 classrooms and 8 bathrooms. There is a separate gymnasium as well as a kitchen area not currently in use. LPA also conducted the infection control domain tool.
The facility has an approved COVID Mitigation plan LIC 808 form in place. The facility has central entry point and has implemented screening and sign in procedures at the front door area. The facility conducts routine symptom screening for employees, residents, and visitors as needed. LPA observed the facility to have hand washing, COVID - 19 informational, and social distancing signs posted throughout the facility, on the front door, and outside. The facility has a designated infection control lead. The facility is able to designate and dedicated a Covid-19 room/bathroom if needed. Common touch surfaces are cleaned after each use. No obstructions to fire exits noted. 5 staff and 10 client files were reviewed. Current First Aid and CPR certifications are in place for staff as well as fingerprint clearances. All other contents for files were in place.

Water temperature reads 105-120*F in the bathroom and room temperature reads 75*F. Resident classrooms were sanitary and had the required furniture and furnishings. Smoke and carbon detectors were in good repair. Fire extinguisher was checked 11/18/2022.

Per California Code of Regulations, Title 22, no deficiencies were observed during this visit. Exit interview was held and a report was given to Program Director Joseph Craven.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2022
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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