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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 547208843
Report Date: 01/26/2023
Date Signed: 01/26/2023 10:10:18 AM

Document Has Been Signed on 01/26/2023 10:10 AM - 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:SOCIAL VOCATIONAL SERVICES, INCFACILITY NUMBER:
547208843
ADMINISTRATOR:REYNOSO, DAWNFACILITY TYPE:
775
ADDRESS:1120 S BEN MADDOX WY STE 100TELEPHONE:
(559) 802-1560
CITY:VISALIASTATE: CAZIP CODE:
93292
CAPACITY: 90CENSUS: 71DATE:
01/26/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Program Director Gloria Waldrum TIME COMPLETED:
10:15 AM
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 01/26/23, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct an Annual Inspection - Infection Control. LPA met Program Director Gloria Waldrum. 48 clients were present during the inspection. LPA completed a tour of the facility with Program Director.

Visitor log-in/temperature check was observed upon entry. Hand sanitizer was readily available to clients and visitors. LPA observed social distancing signs and cough etiquette postings throughout facility. Fire extinguisher service date: 01/25/23. Facility is maintained at a comfortable temperature and no passageway obstructions or fire hazards were observed inside or outside.

Social distancing is maintained in activities room. The Day Program has 8 classrooms separated into cohort for activities: two library/music room, two exercise room, two arts/craft room, two kitchen and two computer room. Client brings their own lunches to program. Client locked lockers were observed in the hall on each side of the facility. LPA observed 30-day PPE supply. Client restrooms were tour, observed to be clean, and operational. LPA observed hand washing posting by all sinks. A sample of clients have updated emergency contact information.

No deficiency observed.

Exit Interview conducted. The following documents are requested and to be submitted to Fresno CCL by: 02/02/23. The following updated forms were requested: Lic 308, Lic 309 (if applicable), Lic 500, Lic 610D, and Lic 9282. LPA received a copy of Lic 808. A copy of this report was provided to Program Director.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Mai Yang
LICENSING EVALUATOR SIGNATURE: DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/26/2023
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