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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 425801850
Report Date: 03/08/2023
Date Signed: 03/09/2023 08:11:55 AM

Document Has Been Signed on 03/09/2023 08:11 AM - 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:PATHPONT - LAGUNA STREETFACILITY NUMBER:
425801850
ADMINISTRATOR:CARLA RANGELFACILITY TYPE:
775
ADDRESS:902 LAGUNA STTELEPHONE:
(805) 961-9200
CITY:SANTA BARBARASTATE: CAZIP CODE:
93101
CAPACITY: 75CENSUS: 48DATE:
03/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Tasha Addison, Vice President of South Santa Barbara DivisionTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced Annual Required Inspection. The facility has submitted a Mitigation Plan to the Department. LPA arrived at 12:55 pm and was greeted by Tasha Addison, Vice President of South Santa Barbara Division and Reyes Rios, Assistant Program Coordinator. Carla Rangel, Administrator was unavailable at the time of the visit. At the time of arrival, there were 10 staff on duty and seventeen (17) participants present. LPA informed staff of the purpose of the visit.
The program is a non-profit Adult Day Program. The facility operation is in a building owned by PathPoint. The program is part of PathPoint, a non-profit corporation 501(c)(3). The facility is located in the downtown area of Santa Barbara with access to local eateries, retail businesses, parks, and museums. The facility hours are Monday through Friday, 9:00 am to 2:00 pm.
The program is designed to teach life skills and provide enrichment activities such as a program that includes sensory therapeutic classes such as listening to calm music, massages, aroma therapy, and feeling different textures. The program also includes painting, water coloring, drawing, crafts, jewelry making; physical activities include basketball, bowling, yoga, dancing, stretching, volleyball; music activities; cooking classes, technology skills training, speech and writing classes, and recognizing local cultural celebratory events. Participants attend community outings including visits to museums, local parks, shopping excursions, and scenic tours. The program serves participants with developmental and/or intellectual disabilities (DD/ID). The program is structured towards each participant’s Individualized Support Plan (ISP).
LPA toured the physical plant areas inside and outside to ensure there are no health and safety hazards and to ensure facility is in compliance with Title 22 Regulations.
Fire inspection was most recently conducted on 2/22/2023.
The facility consists of four classrooms, two computer work areas, a changing room, a kitchen, four bathrooms, and a medication room. There are cubbies available to the participants for their personal belongings.
Please continue to 809-C, Pg 2
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE: DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/08/2023
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: PATHPONT - LAGUNA STREET
FACILITY NUMBER: 425801850
VISIT DATE: 03/08/2023
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 Cleaning supplies are stored in a locked cabinet in the kitchen, in a janitor’s locked closet, and in a locked closet in the Physical Education room. Medications are stored in a locked box kept in a locked file cabinet located in the medication room. Participants are assisted with self-administration of medications. Fire drills and disaster drills are conducted once a month by the Office Manager. A fire and explosion drill was last conducted on 2/22/2023; An earthquake drill will be conducted on or about March 22, 2023.
LPA observed kitchen area to be clean and free of litter and rubbish. Food is stored in a safe and healthful manner. Participants are allowed to bring their own food and snacks are made available to the participants.
The Licensee ensures that participants are kept clean and dry and the day program remains free of odors.

Exit interview conducted. No citations issued. Due to technical difficulties, Facility Evaluation Report could not be printed after signatures were applied. LPA emailed report to Tasha Addison once report could be accessed.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Kristin Kontilis
LICENSING EVALUATOR SIGNATURE:

DATE: 03/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023
LIC809 (FAS) - (06/04)
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