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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405800279
Report Date: 12/01/2022
Date Signed: 12/01/2022 02:16:29 PM

Document Has Been Signed on 12/01/2022 02:16 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:SPRUCE DAY PROGRAMFACILITY NUMBER:
405800279
ADMINISTRATOR:TODD HOVEFACILITY TYPE:
775
ADDRESS:250 SPRUCE STREETTELEPHONE:
(805) 473-3005
CITY:ARROYO GRANDESTATE: CAZIP CODE:
93420
CAPACITY: 45CENSUS: 21DATE:
12/01/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Todd Hove, AdministratorTIME COMPLETED:
02:20 PM
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Licensing Program Analyst (LPA) De Leon conducted a 1 year infection control annual visit to the facility above. LPA met with Todd Hove and explained the purpose the the visit.

LPA took a physical plant tour and did not observe any clients in care. Administrator stated the program is still running on-line services with clients only, On-line census is 21.

The program is running Zoom Meetings and prepares packets for drop of and pick up to clients. No in-person services are taking place. There are 2 full time staff and 1 part time staff currently working out of the Spruce location.

The Facility has full PPE available. Covid signs are posted through-out the facility. Restrooms are fully stocked and have hand washing signs. Masks and Hand Sanitizer is available for all staff.

Administrator will contact LPA when in-person services resume.

Exit interview conducted and copy of report emailed to Administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE: DATE: 12/01/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/01/2022
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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