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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 397005665
Report Date: 11/21/2022
Date Signed: 11/22/2022 11:07:06 AM

Document Has Been Signed on 11/22/2022 11:07 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:OPENDOOR SERVICES INC.FACILITY NUMBER:
397005665
ADMINISTRATOR:RICK ECCLESFACILITY TYPE:
775
ADDRESS:117-119 SYCAMORE AVE.TELEPHONE:
(209) 475-1529
CITY:MANTECASTATE: CAZIP CODE:
95336
CAPACITY: 60CENSUS: 48DATE:
11/21/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Bridgette Hearns and Johna Lacy BeardTIME COMPLETED:
12:30 PM
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Unannounced annual visit made out to this day program on 11/21/2022 by Licensing Program Analyst (LPA) Charlie Yang who was met by the Assistant Program Directors, Bridgette Hearns and Johna Lacy Beard, who were briefly interviewed.
Intake area for the front of the day program was set up to take visitors' temperature prior to admission.
Current census was 48 clients at this time. This day program is vendorized through Valley Mountain Regional Center (VMRC) to accept and maintain a 3:1 client to staff ratio at all times.
A tour of this day program was conducted. It was learned that this day program was at the tail end of completing renovations to suite 117-119 and would be moving back to that side in the near future. Flooring and other modifications were being finalized before the move.
All current activities and day program related events were being held in suite 116.
This LPA observed that there was a single central room where all of the clients were held to participate in activities, arts & crafts, and discussions related to their scheduled itineraries.
Tour of the facility kitchen was conducted. It was learned that there weren't any meals prepared or completed for any of the clients while at this day program at this time. This kitchen area was mainly used to store lunches for the clients in the facility refrigerator and the usage of the microwave and other kitchen items to heat up the clients' food. This kitchen area was made inaccessible to the clients at this time.
A tour of the facility restrooms (5) was conducted. Hot water temperatures were taken to make sure that they were within the allowed range of 105-120 degrees at this time.
Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 11/07/2022 by the local fire extinguisher company, Butch Young Fire Equipment, and in compliance at this time.
Office areas were observed to be adequately furnished and maintained at this time.
A tour of the exterior grounds was conducted. Area for client pick up and drop off were toured. Policies and protocol for receiving clients into this day program upon arrival were discussed with the Assistant Program Directors at this time.
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2022
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: OPENDOOR SERVICES INC.
FACILITY NUMBER: 397005665
VISIT DATE: 11/21/2022
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The following forms and documents were requested to be updated and submitted into CCL for review by this LPA:

LIC 308

LIC 400

LIC 500

LIC 610

There were no deficiencies observed or cited during today's annual visit.

Exit Interview
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Charlie Yang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2022
LIC809 (FAS) - (06/04)
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