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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405800432
Report Date: 03/03/2022
Date Signed: 03/03/2022 03:18:16 PM

Document Has Been Signed on 03/03/2022 03:18 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 - SENIORSFACILITY NUMBER:
405800432
ADMINISTRATOR:DEBORAH ARGANOFACILITY TYPE:
775
ADDRESS:9465 MORRO ROADTELEPHONE:
(805) 466-0527
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY: 30CENSUS: 13DATE:
03/03/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:57 PM
MET WITH:Debbie Argano, AdministratorTIME COMPLETED:
02:00 PM
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On 3/03/22 at 12:57 pm, Licensing Program Analyst (LPA) Chavez conducted an unannounced on-site annual infection control visit to the facility above. LPA met with Instructor Crystal McKinzie and explained the purpose of the visit. At 1:30 pm, Administrator Debbie Argano arrived.

LPA toured the facility with the instructor and observed the following: The facility has signage at the front door regarding the visitor policy. LPA was screened upon entry. There is a large common area/activity room and two client bathrooms. Both bathrooms are equipped with soap and paper towels. The facility has signage for COVID infection control measures including cough etiquette and handwashing reminders. There are three fire extinguishers, one at the entry, one in the staff breakroom, and the last in the garage. The fire extinguishers are fully charged and inspected on 2/22/2022. LPA observed all staff and clients wearing proper face coverings. The facility does not have a Community Care Licensing Complaint poster. Administrator will ensure a poster is displayed in a common area.

At 1:35 pm, LPA conducted the Infection Control mitigation module with the administrator. No deficiencies cited.

Exit interview conducted and report emailed to the administrator.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Darlene Chavez
LICENSING EVALUATOR SIGNATURE: DATE: 03/03/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/03/2022
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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