<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547204193
Report Date: 11/12/2024
Date Signed: 11/12/2024 05:29:08 PM

Document Has Been Signed on 11/12/2024 05:29 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:SVS TULARE ADULT DAY PROGRAMFACILITY NUMBER:
547204193
ADMINISTRATOR/
DIRECTOR:
JULIE RIVERAFACILITY TYPE:
775
ADDRESS:1225 LELANDTELEPHONE:
(559) 684-9280
CITY:TULARESTATE: CAZIP CODE:
93274
CAPACITY: 60CENSUS: 43DATE:
11/12/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Julie Rivera, Regional Director TIME VISIT/
INSPECTION COMPLETED:
02:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 11/12/24, Licensing Program Analysts (LPA) L. Salazar and M. Medina arrived to the facility unannounced to conduct the required annual inspection. LPAs were greeted by the receptionist, stated the purpose of the visit and were allowed entry into the facility.

LPAs met with Regional Director and Program Director. LPA Medina conducted a review of Staff and client records and documented on a separate report. LPA Salazar conducted the facility tour with Regional Director (RD) and Program Director, Kylie Gonzales. No fire hazards or passageway obstructions were observed. There are no bodies of water on the premises. Fire extinguishers were observed with a service date of 06/24/2024. Emergency Disaster plan was observed to be updated and complete. Emergency Disaster Drill logs were observed for all staff. Last drill was an earthquake drill conducted 10/17/24. Facility temperature was 69 degrees F.

LPA observed 6 classrooms (Sensory, Computer, Gym, Game Room, Library and Art Room) and 3 bathrooms, (total of 4 toilets). Classrooms were observed to have sufficient seating and adequate lighting. LPA observed restrooms to be clean, have operational lights, running water and are free from odor. Hot water measured at 119 degrees F.

LPA observed a kitchen/dining area where clients participate in group activities and have lunch. No lunch is prepared on the premises, clients bring lunch from home. Medications are not dispensed at the day program. Cleaning supplies were observed to be locked in a room off of the hallway. First aid kit was observed and contained all required items.

An exit interview was conducted with Regional Director. A copy of this report was discussed and provided at the time of visit. No deficiencies cited on today's visit.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 11/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/12/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1