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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435201773
Report Date: 03/22/2024
Date Signed: 03/22/2024 04:03:47 PM

Document Has Been Signed on 03/22/2024 04:03 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, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME:MMS BEHAVIORAL DAY PROGRAM, INC.FACILITY NUMBER:
435201773
ADMINISTRATOR:HOMARA, MANIZHEHFACILITY TYPE:
775
ADDRESS:18980 MONTEREY ROADTELEPHONE:
(408) 778-5600
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 81CENSUS: 43DATE:
03/22/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Michelle ValeraTIME COMPLETED:
04:00 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) Steve Chang conducted an unannounced annual inspection visit and met with Administrator (ADM) Michelle Valera and Program Manager Stephanie Valera (PM).

43 clients and 23 staff were observed in the facility.

LPA toured the facility inside and out with ADM and PM. Activity rooms, office, restrooms, kitchen, movie room, quiet room, and multiple purpose rooms were observed. License, Administrator Certificate, and personal rights posters were observed in the facility. Room temperature was at 68 degree F, and hot water temperature was at 106 degree F. The temperature of refrigerator was at 40 degree F, and the temperature of the freezer was at 0 degree F. First aid box and flash lights were observed in the facility.

Fire extinguishers last serviced on 06/20/2023. The facility was equipped with fire alarm system, smoke and carbon monoxide detectors. Smoke detectors were tested by staff. The smoke detectors were working fine. Front yard and backyard were inspected. There was no obstruction to block the walkways.

LPA reviewed 5 resident files and 5 staff files.

The last time the facility conducted the emergency and fire drill is 3/7/2024.

No citation noted today. Exit interview was conducted with ADM. The report was provided to ADM for signature. A copy of the report was provided to ADM.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Chihhsien Chang
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2024
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 1