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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002199
Report Date: 08/06/2024
Date Signed: 08/06/2024 11:38:09 AM

Document Has Been Signed on 08/06/2024 11:38 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
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SCS LOREN ROBINSON CENTERFACILITY NUMBER:
455002199
ADMINISTRATOR/
DIRECTOR:		CRAVENS, JENNIFERFACILITY TYPE:
775
ADDRESS:900 B TWIN VIEW BLVD.TELEPHONE:
(530) 247-8324
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY: 60CENSUS: 49DATE:
08/06/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Supervisor, Alicia Eller
Administrator, Jennifer Cravens		TIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On August 6, 2024 at approximately 10:00 AM, Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at SCS Loren Robinson Center for Day Program for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by Administrator, Jennifer Cravens.

LPA and the Supervisor toured the facility. LPA observed the facility was found 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, toxins room where toxins are stored, changing room and a quiet room. Fire Extinguishers were found to be last charged on June 2024 at the time of the inspection. All smoke detectors sound directly to the local fire jurisdiction. Carbon monoxide detector was tested and operational during the inspection. Water temperature was appropriate. Supervisor advised that the facility orders food from outside and then gives out the food to the clients in care. There are special provisions made for individuals with special dietary needs. Medications were centrally stored and locked. 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 reviewed 5 client files and found those to be appropriate during the review.

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. First Aid kit was inspected and found to be appropriate during the inspection. 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 July 2024. (Report continued on LIC 809C)
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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: SCS LOREN ROBINSON CENTER
FACILITY NUMBER: 455002199
VISIT DATE: 08/06/2024
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LPA requested the following documents to be sent:

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
Updated Surety Bond (if any)
Control of Property
Register of clients

No deficiencies were cited or observed during today's Required 1 year inspection. Exit interview was conducted and a copy of this report was emailed to the facility Administrator due to printer issues.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC809 (FAS) - (06/04)
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