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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435202437
Report Date: 10/11/2024
Date Signed: 10/11/2024 11:46:11 AM

Document Has Been Signed on 10/11/2024 11:46 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:GREATER OPPORTUNITIESFACILITY NUMBER:
435202437
ADMINISTRATOR/
DIRECTOR:		ANTHONY ROWEFACILITY TYPE:
775
ADDRESS:687 NORTH KING ROADTELEPHONE:
(408) 272-3629
CITY:SAN JOSESTATE: CAZIP CODE:
95133
CAPACITY: 75CENSUS: 47DATE:
10/11/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Mina Karim, Senior Program ManagerTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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Licensing Program Analyst Manuel Monter and Licensing Program Manager Romeo Manzano conducted an unannounced case management visit.

On October 11, 2024, the Department conducted an unannounced case management visit. LPA and LPM meet with Akhom Kham, Day Program Assistant Coordinator(referred as S2), Mina Karim, Senior Program Manager (referred as S1) and Danielle Sanchez, Director of Operations (Referred as S3)

The purpose of this visit was discussed with with S1, S2 and S3. The Department of Social Services Community Care Licensing Division has issued a Decision and order on October 9, 2024, for staff S3. S3's Administrator Certificate for Adult residential facilities has been revoked or deemed forfeited. S3 is prohibited from preforming his/her duties and responsibility of an Administrator in an Adult Residential Facilities/ Adult Day Program. A copy of the Decision and Order was provided and discussed with S1 and S3. S3 stated he/she does not have a valid Adult Residential Facility Certificate (expired in September 2024). S3's fingerprint clearance is on pending status, which prohibits S3 to be present and work at the day program until cleared.

S1 stated that he/she has been appointed by the licensee (Corporate) as the Senior Program Manager since 2023. S1 was informed that the Department did not receive Board of Resolutions to appoint him/her as the new administrator of the facility. LPA discussed the duties and responsibilities of a day program Administrator wherein he/she is responsible to uphold the duties and responsibilities of an Administrator as per Title 22, 82064 - Administrator - Qualifications and Duties. LPA informed S1 to ensure that the Director of Operations (S3), position does not overlap with S1's position or Day Program Assistant Coordinator or in similar Capacity. S1 and S3 agreed and understood.

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SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE: DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/11/2024
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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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: GREATER OPPORTUNITIES
FACILITY NUMBER: 435202437
VISIT DATE: 10/11/2024
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LPA informed S1 and S2 that the licensee/Corporation must inform the Department of Social Services CCLD of any changes in the operation of the facility such as but not limited to change of Administrator wherein the licensee/ corporate office must submit the following:
1. LIC308 Designation of Administrative Responsibility,
2. LIC309, Administrative Organization
3. LIC200, Application-Update
4. LIC9182- with a valid Photo ID.
5. Prospective Administrator's curriculum Viate who meets Title 22, 82064 Education and Experience and a minimum of 30 hours continuing education units every 24 months.
6. Corporate Board Resolution appointing the new Administrator
7. LIC500 Personnel Summary.

This Report has been reviewed with Mina Karrim, Senior Program Manager. A copy of the report has been provided.

No Deficiencies cited during today's visit.

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SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2024
LIC809 (FAS) - (06/04)
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