421701729-3-6-2023-29-AS-RDLN-CPP32K-20230306165204

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 421701729
Report Date: 03/06/2023
Date Signed: 03/06/2023 04:52:54 PM

Document Has Been Signed on 03/06/2023 04:52 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:	VTC ENTERPRISES		FACILITY NUMBER:	421701729
ADMINISTRATOR:	JASON TELANDER		FACILITY TYPE:	775
ADDRESS:	2445 A STREET		TELEPHONE:	(805) 928-5000
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY: 150		CENSUS: 71	DATE:	03/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:25 PM
MET WITH:	Crystal Smith, LLL Manager		TIME COMPLETED:	05:05 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's (LPA's) De Leon and Phillips conducted a 1 year Annual visit to the facility above. LPA's met with Crystal Smith Life Long Learning Manager and explained the purpose of the visit. LPA's took a physical plant tour of the facility with staff. The Adult Day Program (ADP) has submitted a mitigation plan, Emergency Disaster Plan, and Infection Control Plan to the department. The ADP has a central entry point for staff to sign in and symptoms screen as well as a separate entry for ADP clients sign in and symptom screening. Routine symptom screening is being preformed on all client in care and anyone showing any signs or symptoms is 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 at entry, every room, and the facility has 4 clients rest-rooms with plenty of soap, paper towels, toilet paper, hand washing signs, and changing areas. Trash bins have covers. Facility has 30+ days of PPE supplies. Facility staff wear masks at the facility and when on outings with clients. Facility staff give clients masks daily and encourage the wearing of masks at program. Facility staff will wear full PPE with N95 masks with 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 if they are ill. Facility has developed policies for Covid-19 precautions. PPE supplies are stored in storage room accessible to staff working. All emergency contact information has been updated for all clients in care. Facility audits all supplies and replenishes when low. Administrator has a plan in place for back-up staffing when and if needed. Continued 809

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2023

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: VTC ENTERPRISES	FACILITY NUMBER: 421701729
	VISIT DATE: 03/06/2023

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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. The facility provides a safe courtyard for out door space with seating, mats and umbrellas for shade. Staff and resident records are kept in the HR office on campus. 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 01/20/2023. Smoke and carbon monoxide detectors are present along with sprinklers with a fire suppression system. The facility has 2 kitchens. Cleaning supplies were kept under the sink in Kitchen 1 and the cupboard door was unlocked at 2:51pm. Kitchen 2 has unlocked cleaning
supplies under the sink at 3:05pm. The microwaves were not clean in kitchen 1 at 2:58 pm and kitchen 2 at 3:08pm, along with the oven door in kitchen 2. The facility provides 1 snack per day and clients bring lunch from home or go to the cafe on the campus which charges for meals. LPA Phillips tested water in client rest-rooms temperature was 120 F.

LPA's will return at a later date to complete the annual inspection to review staff and client files, review training records and to conduct interviews.

Exit interview completed, technical violations issued and copy of report printed for Administrator.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2023

LIC809 (FAS) - (06/04)

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