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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 445202618
Report Date: 01/14/2022
Date Signed: 03/01/2022 08:38:53 AM

Document Has Been Signed on 03/01/2022 08:38 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
CCLD Regional Office,
, CA
FACILITY NAME:NEW PERSPECTIVES INCFACILITY NUMBER:
445202618
ADMINISTRATOR:SO-QUAKENBUSH, SELANAFACILITY TYPE:
775
ADDRESS:100 WESTRIDGE DRTELEPHONE:
(916) 203-6246
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 60CENSUS: 28DATE:
01/14/2022
TYPE OF VISIT:Case Management - COVID-19UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Jessica GrecoTIME COMPLETED:
02:45 PM
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Licensing Program Analyst (LPA) Marybeth Donovan conducted a Technical Assist (TA) Visit via Zoom platform with Jessica Greco Regional Director, Toni Rivera Program Clinical Consultant, and Jackie Jin Licensing Program Manager to provide technical assistance to prevent and mitigate the spread of COVID 19 in the facility. LPA conducted a virtual tour of the facility.

During today's TA-Visit, recommendations were made to as follows:

1. Post Mask Signage outside at the entrance to the facility.
2. Utilize foot operated trash cans in the bathrooms and kitchen area
3. Review OSHA Guidelines on N95 Fit Testing

Report reviewed with Jessica Greco Regional Director and a copy emailed for signature.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Marybeth Donovan
LICENSING EVALUATOR SIGNATURE: DATE: 01/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/14/2022
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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