<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435201399
Report Date: 08/23/2022
Date Signed: 08/23/2022 12:46:36 PM

Document Has Been Signed on 08/23/2022 12:46 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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:W.A.T.C.INCORPORATED(WREN AVENUE TRAINING CENTER)FACILITY NUMBER:
435201399
ADMINISTRATOR:ZIPAGAN, SANDYFACILITY TYPE:
775
ADDRESS:7888 WREN AVE. BLDG A-111TELEPHONE:
(408) 472-2059
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 30CENSUS: 28DATE:
08/23/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:20 AM
MET WITH:Pony TuazonTIME COMPLETED:
12:50 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) Christine Dolores arrived unannounced to complete the annual inspection focusing on infection control. LPA met with Assistant Administrator, Triponia "Pony" Tuazon and Administrator, Sandy Zipagan. The day program is community based and no clients observed on-site.

During visit, LPA toured the day program to include the activity rooms, isolation room, kitchen, common bathroom, and transportation vehicle. All exits routes were free and clear of obstruction.

The day program has a central entry point to include symptom screening and temperature check for all staff and visitors. Hand sanitizer made available at entry and throughout the program. Bathrooms observed to be supplied with hygiene products and paper supplies. LPA observed supply of Personal Protective Equipment (PPE) supplies. Donning and Doffing PPE sign posted next to isolation room. Staff clean and disinfect multiple times daily and as needed. Staff have not completed N95 fit-testing. LPA observed the transportation vehicle to be up to date with maintenance and supplied with sanitizer and disinfectant spray. LPA reviewed the facility's procedures to include screening, isolation, disinfecting, staffing, training, PPE usage and social distancing.

The following signs observed to include special visitors, visitation policy, symptoms of COVID, feeling ill, social distancing, and mask required.

No citations were issued per the California Code of Regulations, Title 22. Advisory note provided.

This report was reviewed with Administrator, Sandy Zipagan and a copy of the report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE: DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/23/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2