405801240-2-28-2023-29-AS-RDLN-CPH43T-20230228174517

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 405801240
Report Date: 02/28/2023
Date Signed: 02/28/2023 05:45:32 PM

Document Has Been Signed on 02/28/2023 05:45 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:	LEARNING CENTER, THE		FACILITY NUMBER:	405801240
ADMINISTRATOR:	JEFFERS, RANEILE		FACILITY TYPE:	775
ADDRESS:	1610 W GRAND AVE		TELEPHONE:	(805) 473-3005
CITY:	GROVER BEACH	STATE: CA	ZIP CODE:	93433
CAPACITY: 50		CENSUS: 6	DATE:	02/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	05:00 PM
MET WITH:	Raniele Jeffers		TIME COMPLETED:	05:50 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) De Leon conducted a 1 year infection control Annual visit to the facility above. LPA met with Raniele Jeffers, Administrator and explained the purpose of the visit. LPA took a physical plant tour of the facility with Administrator. The Adult Day Program (ADP) has submitted a mitigation plan and Infection control plan to the department. The ADP has a central entry point to sign in and symptoms screen. Routine symptom screening is being preformed on clients in care. If anyone is showing any signs or symptoms they are taken to the isolation room for pickup from the program. Signs are posted at entrance and in the common areas of the facility regarding Covid-19. Hand Sanitizer is available on entry, the facility has 4 bathrooms with plenty of soap, paper towels, toilet paper and hand washing signs. Facility is still under remodel but all remodeling is closed off to the program until finished. Program is running out of the remodeled portion of the facility. Facility had procedures for testing staff and or clients in care when needed. Facility has a separate isolation room for any client that is not feeling well or displaying symptoms. Trash bins and waste baskets have tight fitting covers. Facility has 30+ days of PPE supplies. Facility staff wear masks at the facility and when on outings with clients. Facility staff will wear full PPE with N95 masks and face shields when dealing with any pending or confirmed cases of Covid-19. Facility will keep a line list of all staff/clients testing and vaccinations. Facility staff have non-punitive sick leave policies and ill staff are requested to stay home and not report to work. Facility has developed policies for Covid-19 precautions. PPE supplies are stored in storage room accessible to staff at front entry in cupboard and extra supplies in storage. Continued 809-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 02/02/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/02/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: LEARNING CENTER, THE	FACILITY NUMBER: 405801240
	VISIT DATE: 02/28/2023

NARRATIVE

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All emergency contact information has been updated on all clients in care. Facility audits supplies and replenishes when low. Administrator has a plan in place for back-up staffing when and if needed. The facility keeps records of client illnesses and reports to the clients responsible party and CCL when required. All clients in care have the right to reject medical services. The facility keeps staff on duty who is trained and competent to handle and deal with emergency personnel. The facility has an emergency plan posted with contact phone numbers for doctors, dentists, police, fire, ambulance and paramedics. The facility provides a safe and healthy in door activity space for clients in care. Staff and resident records are kept in locked staff office. Facility does realize guidance changes and the most up to date guidance from CCL-PINS, CDC, CDPH, and local health departments should be followed to remain in compliance. The most stringent orders should be followed by any of these agencies. The facility fire extinguishers were last inspected on 07/28/2022. Smoke and carbon monoxide detectors are present. The facility kitchen has a refrigerator and microwave. Clients bring lunch to day program. Program provides 1 snack daily. The facility is clean, safe and sanitary. Administrator will contact LPA as soon as remodel is completed.

No deficiencies observed during the visit and all infection control protocols are implemented and are being followed.

Exit interview completed and report printed for Administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 02/28/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2023

LIC809 (FAS) - (06/04)

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