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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547203972
Report Date: 02/06/2024
Date Signed: 02/06/2024 12:17:53 PM

Document Has Been Signed on 02/06/2024 12:17 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, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:CENTRAL VALLEY TRAINING CENTERFACILITY NUMBER:
547203972
ADMINISTRATOR:LOWES, MARIAFACILITY TYPE:
775
ADDRESS:9838 W. GROVE AVETELEPHONE:
(559) 651-2844
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY: 75CENSUS: 20DATE:
02/06/2024
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Program Director, Lindsey DevriesTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Katie Brown arrived unannounced to conduct a Health & Safety Inspection in conjunction with a 10-Day complaint visit (Control Number 24-AS-20240205160913). LPA met with and explained the purpose of the visit with Program Director (PD) Lindsey Devries.

During this visit, LPA toured the day program inside and out with PD. Individuals were observed participating in group activities in designated areas. LPA observed required postings. Bathrooms were clean, contained required items and hand washing signs. Disinfectants and cleaning supplies were locked and inaccessible to program participants. The facility Emergency Disaster Plan was reviewed. A Fire and earthquake drill was conducted 1/31/24. PPE is available if needed. Doorways and passageways are unobstructed throughout the facility. Fire Extinguishers and fire system serviced by Jorgensen Co. on 1/3/24. A locked medication cabinet was observed. None of the participants take scheduled medications during Day Program at this time.

There were no citations during this inspection.


An exit interview was conducted and a copy of this report was provided to PD, whose signature confirms receipt.
SUPERVISORS NAME: Sergiy Pidgirny
LICENSING EVALUATOR NAME: Katie Brown
LICENSING EVALUATOR SIGNATURE: DATE: 02/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/06/2024
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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