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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455000523
Report Date: 09/05/2024
Date Signed: 09/05/2024 01:52:42 PM

Document Has Been Signed on 09/05/2024 01:52 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:ARTISTIC ENDEAVORSFACILITY NUMBER:
455000523
ADMINISTRATOR/
DIRECTOR:
CORY, LAURIE L.FACILITY TYPE:
775
ADDRESS:491 LAKE BLVDTELEPHONE:
(530) 242-0173
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 45CENSUS: 25DATE:
09/05/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Program Director, Shari BaldwinTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On September 5, 2024 at approximately 12:15 PM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Artistic Endeavors Day Program for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Program Director, Sherry Baldwin and was granted access into the facility

LPA and the Program Director toured the facility. LPA observed the facility to be clean and at a comfortable temperature with all exits free from obstruction. LPA observed a main area where clients do activities, an art room area, isolation room, locked toxins room where toxins are stored and isolation room. Clients were observed watching a movie. Lockers are kept for clients to keep there valuables which was observed during the inspection. Fire Extinguisher was found to be last charged on November 2023 at the time of the inspection. All smoke detectors and Carbon Monoxide Detectors sound directly to the local fire jurisdiction. The Local Fire Jurisdiction tested the Smoke and Carbon Monoxide Detectors on March 2024 which passed the inspection. Water temperature was tested and found to be at 107 degrees within an acceptable range of 105 to 120 degrees. Clients bring their own lunches. Facility has snacks available for clients in care. Cleaning products and other toxins are locked and inaccessible to clients in care. There was a supply of cleaners, hygiene products and paper products available for clients and/or staff. All bathrooms designated for clients in the common areas at the facility were supplied with individual paper towels and hand soap. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms of COVID-19 or other infectious diseases are present in the facility. LPA reviewed the Emergency Disaster Plan and the Infection Control Plan and found those documents to be appropriate during the inspection. Emergency Disaster Drill was conducted in June 2024. First Aid Kit was inspected and found to be appropriate during the inspection.

(Report continued on LIC 809C)
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ARTISTIC ENDEAVORS
FACILITY NUMBER: 455000523
VISIT DATE: 09/05/2024
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LPA reviewed 5 staff files and found those to be appropriate during the review. Staff that provide Care and Supervision have valid First Aid/CPR. 5 of 5 client files were reviewed and found to be appropriate during the inspection.

LPA requested the following documents:

LIC 500- Personnel Report
LIC 308- Designation of Facility Responsibility
LIC 309- Administrative Organization
LIC 400-Affidavit Regarding Client Cash Resources
Most up-to-date Liability insurance
Most recent Fire Inspection Report
Control of Property
Register of clients

No deficiencies were observed or cited during today's Required 1 year inspection. Exit interview was conducted and a copy of this report was signed and given to the Program Director, Shari Baldwin.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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