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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202432
Report Date: 03/21/2025
Date Signed: 03/21/2025 11:12:58 AM

Document Has Been Signed on 03/21/2025 11:12 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:TRAINING CENTER, THEFACILITY NUMBER:
435202432
ADMINISTRATOR/
DIRECTOR:		MONA HADAFACILITY TYPE:
775
ADDRESS:7996 WESTWOOD DRIVETELEPHONE:
(408) 713-2771
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 30CENSUS: 15DATE:
03/21/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Yadira GarciaTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with lead staff, Yadira Garcia.

During visit, LPA toured the day program to include the activity room, changing rooms, bathrooms, medication room, kitchen area, and exterior. There were 9 out of 15 consumers on site during visit participating in activities. The remainder of the consumers were out in the community. LPA observed the activity calendar posted.

All fire exit routes were free and clear of obstruction. Interior temperature maintained 69 degrees F. Fire extinguisher last serviced on 01/07/2025. Carbon monoxide detector observed operable. Sharp objects and medications observed locked. Bathroom is equipped with hygiene supplies, paper supplies, and grab bars. Bathroom hot water temperature maintained at 107 degrees F. Refrigerator temperature maintained at 37 degrees F. Freezer temperature maintained at 0 degrees F. The consumers foods are stored in coolers based on their homes. The day program has a couple large bins filled with emergency supplies which are checked by the staff quarterly. First aid kit observed in the medication room. Emergency lighting observed on the wall. Emergency drills are conducted quarterly and the last drill was completed on 03/03/2025.

1 transportation van was observed. The transportation van is equipped with a first aid kit and fire extinguisher. The transportation van is registered and is being serviced when required. The facility has a van and transportation log to keep track of all the services.

See LIC809-C.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Christine Kabariti
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: TRAINING CENTER, THE
FACILITY NUMBER: 435202432
VISIT DATE: 03/21/2025
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4 consumer files were reviewed and observed complete. The day program stores medication for 2 out of the 4 consumers. 2 consumers medications and centrally stored medication record was reviewed with all medication accounted for. The day program has a physician's order to hold PRN medication for 2 consumers.

4 staff files were reviewed and observed complete. 4 staff obtains a 1st aid certification and are fingerprint cleared. 4 staff were provided at least 8 hours of annual training related to their job functions.

Documents were requested by 03/28/2025: LIC500, LIC308, LIC400, Surety bond, Administrator CEU Hours, Lease Agreement, and Emergency Disaster Plan.

No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Lead Staff, Yadira Garcia and Office Manager, Diane Wood and a copy of the report was provided.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Christine Kabariti
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2025
LIC809 (FAS) - (06/04)
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