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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547206782
Report Date: 05/13/2022
Date Signed: 05/13/2022 02:16:15 PM

Document Has Been Signed on 05/13/2022 02:16 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:EMPLOY AMERICAFACILITY NUMBER:
547206782
ADMINISTRATOR:SUZANNE COPELANDFACILITY TYPE:
775
ADDRESS:340 N. FOURTH STTELEPHONE:
(559) 443-7119
CITY:PORTERVILLESTATE: CAZIP CODE:
93257
CAPACITY: 90CENSUS: 0DATE:
05/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:51 PM
MET WITH:Danielle BeltranTIME COMPLETED:
02:32 PM
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on 5/13/2022, Licensing Program Analyst (LPA) M. Medina arrived unannounced to conduct an Annual Required Infection Control Inspection. LPA met with Program Director, Danielle Beltran and stated the purpose of the visit. LPA observed visitor log-in/temperature check. Facility staff observed to be wearing facial coverings.

All entrances, exits, and pathways were free from obstructions. No fire clearance issues observed during today's inspection. LPA observed signs at the entrance promoting social distancing, cough/sneeze etiquette, and hand-washing. During this time, day program is not operating at full capacity and clients only attend day program Monday through Thursday. Friday's are utilized for remote services and packet preparation for clients who are not able to attend in person. LPA observed reminders to wash hands in client bathrooms. Bathrooms were stocked with paper towels and liquid soap. Bathrooms observed to have lids on trash cans. All chemicals and cleaning supplies observed to be locked and secured. Day Program does not prepare meals on site, all clients bring lunch daily. Facility is sanitized throughout the day, and at conclusion of day. All clients in attendance wear masks during services.

Facility is equipped with a pull station, and both visual and auditory alarms. Fire extinguishers present with a service of 3/21/22. Last fire drill conducted 3/29/22.

No deficiencies observed during this inspection.

Exit interview conducted with Program Director. Facility report signed on site and a copy of this report was given for facility file.
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE: DATE: 05/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/13/2022
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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