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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202216
Report Date: 12/07/2022
Date Signed: 12/07/2022 04:05:39 PM

Document Has Been Signed on 12/07/2022 04:05 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:AIM HIGHER, INC.FACILITY NUMBER:
435202216
ADMINISTRATOR:MARINA DAVIDFACILITY TYPE:
775
ADDRESS:90 GREAT OAKS BLVD., STE. #101TELEPHONE:
(408) 599-3155
CITY:SAN JOSESTATE: CAZIP CODE:
95119
CAPACITY: 80CENSUS: 64DATE:
12/07/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:ShaTerica IslesTIME COMPLETED:
04:17 PM
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Licensing Program Analyst (LPA) Ryker Heberle conducted an unannounced Required - 1 Year visit on 05/31/2022 at 02:01pm and met with Program Director ShaTerica Isles (Admin).

LPA toured the facility. LPA toured the reception area, 2 offices activity room, break area, staff kitchen, 2 bathrooms, 3 classrooms, and 3 storage rooms. Facility is currently operating at a reduced in person capacity due to COVID-19 restrictions. LPA was screened for symptoms and temperature was taken upon entrance into the facility at designated entry point. All staff members observed to be wearing masks. LPA observed COVID-19 related posters displayed throughout the facility. LPA observed that the facility has a 30 day supply of PPE.

No prohibited items noted in facility. All emergency exits noted to be clear of obstruction. All rooms in facility noted to be clean and well maintained. Hand sanitizers, soap, and paper supplies were observed to be available. Food is not prepared for clients at the facility and medication is not administered. Fire extinguishers observed to have been inspected in August of 2021. Carbon monoxide detector tested and observed to be operational.

All restrooms stocked with paper towels. Hand washing signs observed in all bathrooms. Facility water temperature measured at 105 *F Social distancing signs observed to be posted in all public areas. Facility was observed to have a designated room for residents to isolate in the event of manifestation of symptoms. Vaccination rate for staff and clients is currently at 100%.

No deficiencies cited during today's visit. This report was reviewed with Program Director ShaTerica Isles and a copy of the signed report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Ryker Heberle
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022
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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