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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 401703834
Report Date: 12/28/2023
Date Signed: 12/28/2023 02:27:10 PM

Document Has Been Signed on 12/28/2023 02:27 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 RIO-STARTFACILITY NUMBER:
401703834
ADMINISTRATOR:DEBORAH ARGANOFACILITY TYPE:
775
ADDRESS:5045 EL CAMINO REALTELEPHONE:
(805) 466-4438
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 30CENSUS: 6DATE:
12/28/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:12 PM
MET WITH:Program Director - Jacob HarringtonTIME COMPLETED:
03:15 PM
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 At 12:00 pm on 12/28/2023, Licensing Program Analyst (LPA) Mark Jeffries arrived at the facility to conduct an unannounced annual inspection visit. LPA contact and met with Jacob Harrington, Program Director and informed him for the reason of the visit.

LPA toured facility with Program Director. All outdoor and indoor passageways are free of obstruction. There are no bodies of water on the premises. The facility is maintained in conformance with state fire marshal regulations. Smoke alarms and carbon monoxide detector in working order. Fire extinguishers have current tags and are all within the green charge indicator limits. Facility maintains comfortable temperature of 69* Fahrenheit (f). Hot water temperature tested and read in regulation standards of 105*-120*(f). All toilets and hand washing facilities are maintained in a safe, sanitary, operating condition. The program site is clean, safe, sanitary and in good repair for the safety and well-being of clients, employees, and visitors. Each client is accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs. Clients bring their own lunches. Facility has adequate emergency supplies and first aid supplies. Disinfectants, cleaning solutions, sharp utensils and poisons are inaccessible to clients and locked in the kitchen. The facility has a locked box for centrally stored medication. Medication is given as prescribed. LPA observed staff sufficient for client ratio. LPA observed the clients being treated with dignity and respect by the staff.

Administrator, Program Director, and LPA conducted a full review of the annual control tools modules. During the full review of the annual control tool modules LPA noted no technical, violations or citation. During the full annual review of the facility, there are no violations or citations issued at this time.


Exit interview, no deficiencies cited, report given.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE: DATE: 12/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/28/2023
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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