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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486804269
Report Date: 11/15/2024
Date Signed: 11/15/2024 10:51:44 AM

Document Has Been Signed on 11/15/2024 10:51 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
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:BEACON DAY PROGRAMFACILITY NUMBER:
486804269
ADMINISTRATOR/
DIRECTOR:		SANTIAGO, ARNOLDFACILITY TYPE:
775
ADDRESS:320 CAMPUS LANETELEPHONE:
(916) 743-9292
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY: 45CENSUS: 0DATE:
11/15/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:35 AM
MET WITH:Arnold Santiago, AdministratorTIME VISIT/
INSPECTION COMPLETED:
11:00 AM
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On 11/15/2024 Licensing Program Analysts (LPA) Loera conducted a pre-licensing inspection. This pre-licensing inspection is being conducted as facility is changing locations and will be operating by 11/19/2024. Facility is still in the process of moving.

LPA and administrator toured the buildings and grounds. Facility was found to be at a comfortable temperature. LPA observed 3 activity rooms for clients. Fire extinguishers were last inspected 10/2024. Facility has smoke alarms throughout which seem to be hardwired. Water was measured at 114.2 and 115.4 degrees F in faucets accessible to clients which is within regulation between 105 & 120 degrees F. Cleaning products, other toxins and chemicals are kept out of client access and found to be secured. Sharps were found to be locked in the kitchen below the sink. LPA observed a large refrigerator where clients will be able to store their lunches. Facility consists of 3 emergency exits with the main emergency exit being located straight down the hallway.

No Deficiencies cited during visit. Pre-Licensing is completed. Facility is ready to be Licensed as an Adult Day Program.

Exit interview conducted with administrator and a copy of this report was provided.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2024
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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