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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202437
Report Date: 07/20/2022
Date Signed: 07/20/2022 03:11:10 PM

Document Has Been Signed on 07/20/2022 03:11 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:GREATER OPPORTUNITIESFACILITY NUMBER:
435202437
ADMINISTRATOR:ANTHONY ROWEFACILITY TYPE:
775
ADDRESS:687 NORTH KING ROADTELEPHONE:
(408) 272-3629
CITY:SAN JOSESTATE: CAZIP CODE:
95133
CAPACITY: 75CENSUS: 20DATE:
07/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Mina KarimTIME COMPLETED:
03:15 PM
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Licensing Program Analyst (LPA) Christine Dolores conducted an unannounced annual inspection focusing on infection control. LPA met with Program Coordinator, Mina Karim.

During visit, LPA toured the day program to include the activity rooms, bathrooms, kitchen, and exterior. All fire exit routes are free and clear of obstruction. All staff observed to be wearing a mask.

Day program observed to have a designated central entry point to include a sign-in sheet and temperature check. All staff and clients complete a screening questionnaire to include symptom screening prior to attending day program through a virtual platform. LPA advised for facility to create a symptom screening log for visitors to initiate at the entry. Hand sanitizer available at entry and throughout the program. Facility clean and disinfect twice daily and as often as needed. Bathrooms supplied with hygiene products and hand washing sign. Trash can with lid observed. LPA observed a sufficient amount of Personal Protective Equipment (PPE). LPA reviewed the programs policies and procedures to include testing, infection control training, and isolation.

The following posters observed to include wash your hands, symptoms of COVID, required mask, feeling ill, and cover your cough.

No deficiencies were cited per California Code of Regulations, Title. Advisory notes provided.

This report was reviewed with Program Coordinator, Mina Karim and a copy of the report was provided.
SUPERVISORS NAME: Sarah Yip
LICENSING EVALUATOR NAME: Christine Dolores
LICENSING EVALUATOR SIGNATURE: DATE: 07/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/20/2022
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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