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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435201399
Report Date: 08/22/2024
Date Signed: 08/22/2024 11:59:28 AM

Document Has Been Signed on 08/22/2024 11:59 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
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/
DIRECTOR:		ZIPAGAN, SANDYFACILITY TYPE:
775
ADDRESS:7888 WREN AVE. BLDG A-111TELEPHONE:
(408) 472-2059
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 30CENSUS: 30DATE:
08/22/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:50 AM
MET WITH:Pony TuazonTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the required 1-year annual inspection. 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 and common bathrooms. All exits routes were free and clear of obstruction. Facility has an approved waiver to have the hot water temperature maintained at over 120 degrees F. Warning signs posted at every sink. Hot water temperature measured at 112 degrees F. Bathroom is shared with other tenants in the building. Facility temperature maintained at 73 degrees F. Fire extinguisher last services on 06/05/2024. Chemicals and disinfectants observed locked. Facility has a lock box for medications. LPA reviewed 3 client records were maintained and complete. LPA reviewed 3 staff files were maintained and complete. Staff files that were reviewed obtains a fingerprint clearance, health screening, TB result, and updated 1st Aid certification. Staff are provided annual training. Facility has an infection control plan. Staff are trained on infection control. Facility has an updated emergency disaster plan. LPA observed flashlights and batteries. Facility has a complete first aid kit. Posters observed to include COVID-19 information and personal rights.

Documents were obtained to include the LIC308, LIC309, LIC500, LIC610D, LIC400, and client roster.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Assistant Administrator, Triponia "Pony" Tuazon and Administrator, Sandy Zipagan and a copy of the report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE: DATE: 08/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/22/2024
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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