A Change of Location (CHOL) Application to operate an Adult Day Program (ADP) was received by Community Care Licensing (CCL) on 05/17/2024. The proposed facility is a unit in a shopping center located in Oxnard, CA. Proposed facility hours are Monday through Friday 08:30AM to 02:30PM. A Fire Clearance was approved for a maximum capacity of 68 ambulatory and 2 non-ambulatory clients with a total capacity of 70 clients on 07/10/2024. During the fire inspection, the facility's sprinkler system was tested. During today's visit, LPA observed 3 (three) fire extinguishers to be fully charged and last serviced 03/08/2024. From 09:00AM to 09:05AM, the facility's 4 (four) combination smoke and carbon monoxide detectors were tested; all were functional at the time of the visit.

Beginning at 08:47AM, a tour of the physical plant was conducted and the following observed:
The facility consists of 2 (two) open activity areas, a kitchen, 2 (two) conference rooms, a staff area, various locked storage closets, locked office spaces, and 3 (three) individual restrooms, one of which is designated for staff use. The proposed facility does not contain an outdoor activity space. All areas observed appeared to be safe and free of hazards. The bathrooms are safe and sanitary and in operating condition with toilet paper, soap, and paper towels. Hot water was measured in a designated client restroom and measured within the required range. Large window separating the entry and program space had been broken and was observed to be boarded up at the time of the visit. Administrator indicated the glass will be replaced within 3-4 business days.

Admission agreements and Needs and Services plan will be maintained for each participant and/or their authorized representative. Client records will be maintained on the facility premises in a locked staff office. Medications will be locked in the medication closet in a locked medication cabinet. First aid supplies were observed to be complete. Emergency supplies and water were observed both on premises and via

The facility will comply with the organization’s standards for health screening, TB clearance, staff training, criminal background clearance and transfer requests. The program administrator meets the qualifications as specified in Title 22 regulations. Additionally, the program administrator receives and documents continuing education each year. Personnel records will be maintained at the facility in a locked staff office.

LPA reviewed and discussed the facility's Emergency Disaster Plan and Infection Control Plan. Both were observed to be complete and in compliance with regulation at this time. LPA also discussed with the Facility Administrator the potential usage of the facility location for an on-site parent-child program during the ADP's non-program hours. Administrator confirmed that the 2 (two) programs will not be run concurrently in the licensed space. LPA also discussed video camera use in the common areas. Administrator will ensure that once the facility is opened, if the facility intends to use cameras that they will not record sound and the facility will include information in the Admission Agreement as well as the Plan of Operation and obtain approval from CCL prior to implementation.

COMPONENT III ORIENTATION: A Component III Orientation was conducted with both Facility Representatives during today's visit.

This report will be sent to the Centralized Application Bureau (CAB). You will be notified by the CAB Analyst when your license has been approved. You are not allowed to begin operating until you have been notified that your license has been approved by the CAB Analyst. Failure to comply could affect approval of your license. Exit interview conducted. A copy of the Licensing Report was provided.