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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 502701065
Report Date: 02/27/2025
Date Signed: 02/27/2025 01:18:10 PM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 02/27/2025 01:18 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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:AIM HIGHER, INC.FACILITY NUMBER:
502701065
ADMINISTRATOR/
DIRECTOR:
WOODFORD, MAXFACILITY TYPE:
775
ADDRESS:318 MCHENRY AVETELEPHONE:
(916) 835-2933
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY: 80CENSUS: 32DATE:
02/27/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Stephanie Cantu, Program DirectorTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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Licensing Program Analyst (LPA's) Renee Campbell conducted an unannounced required 1 year annual inspection on 02/27/2025 at approximately 8:45 am. LPA Campbell met with Stephanie Cantu, Program Director and explained the purpose of the visit.

LPA Campbell reviewed 4 resident files and 3 staff files.  Of the 4 staff files reviewed, 1 staff person was not associated to the facility. LPA Campbell confirmed with the Program Director hat the employee still worked with the facility but was on leave. The Program Director provided verification that staff had been present in facility for at least five days without being associated to the facility. Of the 3 client files reviewed, all files were found to be complete. LPA Campbell toured the facility and inspected classrooms, the kitchen, bathrooms, storage and property. Furniture and furnishings were sufficient to meet the needs of clients. The facility temperature was 73 degrees Fahrenheit, which is within the required range of 73 to 85 degrees. 

LPA Campbell observed first aid supplies which included scissors, tweezers, a first aid manual and thermometer. A fully charged fire extinguisher was last inspected on 08/07/2024. Carbon monoxide and smoke detectors were linked to the fire department. 
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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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Document Has Been Signed on 02/27/2025 01:18 PM - It Cannot Be Edited


Created By: Renee Campbell On 02/27/2025 at 11:19 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: AIM HIGHER, INC.

FACILITY NUMBER: 502701065

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/07/2025
Section Cited
CCR
80065(i)(2)

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Personnel Requirements
(i) Prior to employment or initial presence in the facility, all employees... subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 80019(f) ...This requirement is not met as evidenced by:
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The licensee will access Guardian and associate S2 to this facility by the POC due date and email LPA Campbell verification of the association to renee.campbell@dss.ca.gov .
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Based on fingerprint check in Guardian S2 is not associated to the facility or association has not been been transferred from another licensed facility.
This poses an immediate health and safety risk for persons in care.
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Type B
03/07/2025
Section Cited
CCR82023(d)(1)

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82023 Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.
(2) The drills shall be documented and the documentation maintained in the day program for at least one year
This requirement is not met as evidenced by:.
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Licensee will immediately schedule a fire drill as well as other future disaster drills and conduct an in service training with staff. Licensee will email LPA Campbell the staff sign in sheet for the training as well as a schedule of drills to be conducted for the year and sent to renee.campbell@dss.ca.gov.
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Based on interview, the licensee did not ensure fire drills or other disaster drills were conducted and/or documented every six months which poses a potential Health, Safety, or Personal Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Lisa Rios
LICENSING EVALUATOR NAME:Renee Campbell
LICENSING EVALUATOR SIGNATURE:
DATE: 02/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/27/2025


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 SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: AIM HIGHER, INC.
FACILITY NUMBER: 502701065
VISIT DATE: 02/27/2025
NARRATIVE
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Per Program Manager Stephanie Cantu, there was no documentation of fire drills found on the facility premises. The day program provides snacks for purchase from the "Snack Shack" that is operated and run by the clients. The items were sale were observed by LPA Campbell in the room set aside for the Snack Shack.LPA Campbell observed a locked storage room for storage of cleaning solutions

Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, the following deficiency is being cited on the attached 809-D during this visit. 
An exit interview was conducted, and copies of the report and appeal rights left. 
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
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