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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401701252
Report Date: 08/09/2022
Date Signed: 08/09/2022 02:00:33 PM

Document Has Been Signed on 08/09/2022 02:00 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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:ESCUELA DEL RIOFACILITY NUMBER:
401701252
ADMINISTRATOR:DEBORAH ARGANOFACILITY TYPE:
775
ADDRESS:5940 ROSARIO AVETELEPHONE:
(805) 466-4438
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 80CENSUS: 38DATE:
08/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:39 PM
MET WITH:Debbie Argano, Executive Director, and Eric Saloum, Program DirectorTIME COMPLETED:
02:20 PM
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On 8/09/22 at 12:39 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility listed above. LPA met with Debbie Argano, Executive Director, and Eric Saloum, Program Director, and explained the purpose of the visit.

LPA toured the facility with the Program Director and observed the following: The facility has infection control signage at the front door and signage throughout the facility on handwashing, cough etiquette and use of masks. Upon entry to the facility, LPA was screened. Staff and clients are wearing masks. The facility has soap and paper towels in bathrooms and in the kitchen. The fire extinguishers (6) are located in the reception area, kitchen, end of hallway, vocational room, and main activity room (2). The extinguishers are fully charged and were inspected on 2/23/22. The Executive Director stated they do not currently have a sealed trashcan for the exterior of an isolation/quarantine room. Executive Director will purchase one and take a photo of receipt or trashcan and send to LPA by 8/16/22.

At 1:16 pm, LPA conducted the Infection Control mitigation module with the Executive Director and Program Director. No deficiencies cited.

Exit interview conducted and report emailed to the Executive Director.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Darlene Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2022
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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