405801240-3-21-2024-29-AS-RDLN-D3KS9G-20240321134045

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 405801240
Report Date: 03/21/2024
Date Signed: 03/21/2024 01:41:54 PM

Document Has Been Signed on 03/21/2024 01:41 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: 16	DATE:	03/21/2024
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Raniele Jeffers, Administrator		TIME COMPLETED:	01:50 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 arrived at 9:10am to conducted a 1 year annual visit to the facility above. LPA met with Administrator Raniele Jeffers and explained the purpose of the visit. A tour of the inside and outside of the facility was conducted. The following was inspected and noted during the annual visit: Infection Control: The Adult Day Program (ADP) has submitted a current Infection Control Plan to the department. The facility has a sign in and out binder for visitors at entry. The bathrooms have toilet paper, paper towels, hand soap, and hand washing signs. The facility has EPA approved disinfectants spray and cleaners. The facility has a 30 day supply of PPE. Quarantined or isolated individuals will placed in isolation room until picked up from program. Staff are trained on infection control and the use of Personal Protective Equipment (PPE). All trash cans and waste baskets have tight fitting covers. Physical Plant & Environmental Safety: The facility has a front entry with office, Isolation room, 2 Staff offices, Store, Library/ quiet room, Computer room, Art room, Storage & staff break room, Exercise classroom, Activity room, Locked Janitor room with cleaning supplies, Paperwork/Charting locked cabinet, Kitchen with Microwave, Air fryer, toaster oven, refrigerator, snack cabinet, and 4 restrooms, Large main meeting room, Changing room with locked medication cart, Pop-up canopy's for outside shade use. The Adult Day Program currently occupying 16 clients and employs 8 staff, 6 on call staff, 6 volunteers, and 1 Administrator and 1 back up Administrator.. The facility is clean, safe and sanitary. LPA was authorized to enter and inspect facility. The facility has smoke and 1 carbon monoxide detectors. The lighting is sufficient for the use of the facility and for clients comfort. The facility kitchen is clean, safe and sanitary. Toilet and hand washing facilities are operational. The pathways are clear of any obstructions. Disinfectant, cleaning solutions and poisons are inaccessible to clients in care locked in supply closet and Janitors room. The facility has sufficient space inside for activities and visiting. The facility has telephone and internet service for clients. Water temperatures were checked in bathroom #1 at 112.3 degrees F. Continued 809-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024

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: 03/21/2024

NARRATIVE

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Operational Requirements: The facility has a current plan of operation on file with the department. The Facility is operating in compliance with the granted fire clearance. The facility is approved for a capacity of 50 with 16 being Non-Ambulatory clients.

Staffing: The facility employes 22 staff, volunteers and 1 Administrator. Staff records are kept confidential. LPA reviewed 5 staff files for 1st AID/CPR, Finger print clearances, Applications, Health exam with TB results, Criminal Record statement and Administrator file was reviewed for education and training hour requirements.

Personnel Records & Training: The facility keeps confidential files for each staff member. 5/5 staff had current 1st AID/CPR, Records were present, up to date and kept confidential. Initial and Annual Training requirements are being met. All staff files had 8 plus hours of Annual training.

Clients Rights: All require postings were posted in the common areas of the program. Personal rights and Persons with disabilities are posted in the common areas of the program. The current license is posted. A Computer room with Internet is provided for each client and each client is given confidentiality and privacy.

Clients Records & Incident Reports: The facility keeps separate files on each client confidentially. Five files were reviewed for signed Admission Agreements, Medical Assessments LIC. 602A Physicians Report, ID and Emergency contact forms, Appraisal Needs and Services plans (ANS) with IPP or ISP which are completed quarterly and annually, TB results, Personal Rights. The Facility handles cash resources for a few of the clients in care. LPA audited 2 clients funds with ledger, receipts and cash which were all up to date and balanced. Facility does submit incident reports to the department when required.

Food Service: THE ADP has a kitchen with microwave, Toaster oven, Air Fryer and refrigerator on the premises. Lunch is brought to program by clients. The facility provides 2 snacks with drinks daily. The facility handles and prepares food safely. The freezer is kept at 0 degrees and the refrigeration is kept at 40 degrees. All food is covered, stored and marked appropriately. ADP keeps extra snacks available if needed. Emergency supply of food and water is available. Cleaning solutions and equipment are stored separately than food supply. Kitchen areas are kept clean and free from litter, rodents, vermin and insects. Drinking water is available to all clients. Continued 809-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: 03/21/2024

NARRATIVE

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Health Related Services: Facility provides Centrally Stored Medications to clients in care during this visit none of the clients currently take medications at program. First Aid is provided to clients in care. The facility has a locked medication cart for medications.

Incidental Medical Services: The ADP contacts clients responsible parties for medical and dental services. The ADP uses the Medication Administration Record (MAR) and the Centrally Stored Medication and Destruct Record (CSMDR) if and when needed.

Disaster Preparedness: The current emergency disaster forms were posted. The facility conducts disaster drills every 6 months. The fire extinguishers were charged and last inspected 07/28/2023. Emergency exits and telephone numbers were posted. A set of keys is available for staff on all shifts to access full program in an emergency.

Emergency Intervention: The facility does not use manual restraint or seclusion on any clients in care and is not required to take the CPI training.

LPA conducted interviews with 3 Staff and 3 Clients.

Exit interview conducted and copy of report printed for Administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024

LIC809 (FAS) - (06/04)

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