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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 572700336
Report Date: 06/28/2022
Date Signed: 06/28/2022 03:24:27 PM

Document Has Been Signed on 06/28/2022 03:24 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, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TRUE CONNECTIONS COMMUNITY PROGRAMS, INCFACILITY NUMBER:
572700336
ADMINISTRATOR:TRUE, CYNTHIAFACILITY TYPE:
775
ADDRESS:405 L STTELEPHONE:
(530) 753-3089
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY: 30CENSUS: 23DATE:
06/28/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Samantha Wood, Program DirectorTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to perform an inspection. There were no clients at the time of the inspection but there were four staff members, performing administrative tasks and cleaning protocols. LPA was screened and temperature taken before admittance.

LPA found the facility clean and a comfortable temperature of 75 F. Staff informed LPA that program was almost back up to full capacity since Covid-19 shut-downs early on during the pandemic. There have been no cases of Covid in quite some time and staff and clients are using every precaution to prevent an outbreak at the facility.

LPA was shown some of the projects that clients are making and selling: sewing placemats, bibs, bowl cozies, purses, and many other things and jewelry (made from recycled cans utilizing a die cutter). There are other arts and crafts going on as well. The facility is filled with paintings, drawings and photos, which demonstrates all the clients' participation taking place.

There were no deficiencies found at the time of inspection.
No citations issued.

Exit interview conducted with Samantha Wood, Program Director.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 06/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/28/2022
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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