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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502700117
Report Date: 06/15/2023
Date Signed: 06/15/2023 01:30:25 PM

Document Has Been Signed on 06/15/2023 01:30 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
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:STEPS HOMEFACILITY NUMBER:
502700117
ADMINISTRATOR:VICTOR MANUEL CARDONAFACILITY TYPE:
735
ADDRESS:560 ASHLAND AVENUETELEPHONE:
(415) 652-6720
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY: 5CENSUS: 4DATE:
06/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Administrator Victor CardonaTIME COMPLETED:
02:00 PM
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LPA Jason Lund arrived unannounced to conduct an annual/required visit. LPA Jason Lund met with Administrator Victor Cardona and explained the reason for the visit. Current census was 4 residents.

LPA Lund and Administrator Victor Cardona toured/inspected the facility. Common rooms, living spaces, and all areas intended for resident use were toured. LPA Lund observed furniture and furnishings were functional and in good repair at this time. Resident bedrooms were toured, furniture and furnishings were in good repair and in compliance at this time. Resident restrooms were toured. Kitchen area was toured. Cabinets and drawers were reviewed. Glassware, plates, and dinnerware were observed to be sufficient and able to meet the needs of the residents at this time. Food supply was reviewed for adequate 2-day perishable and 7-day non- perishable quantities. It was observed that additional non- perishable food quantities were maintained in the garage. Laundry area was toured. Laundry detergent, cleaning agents, and supplies were observed to be locked and made inaccessible to the residents at this time. Garage area was toured. Cleaning supplies were observed to be locked in this particular area. Exterior grounds of this facility was toured. Perimeter fence, side gates, and all exits were reviewed and found to be in compliance at this time. Fire extinguishers, located throughout this facility, were observed to have been annually inspected on 01/18/2023 in compliance at this time.
First aid kit was observed to be stocked and contained all required components at this time. Medication cabinet, located in facility office, was observed to be locked and made inaccessible to the residents at this time.

There were no deficiencies observed or cited during today’s annual visit. Exit Interview
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE: DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/15/2023
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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