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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 572700336
Report Date: 08/15/2023
Date Signed: 08/15/2023 12:18:19 PM

Document Has Been Signed on 08/15/2023 12:18 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: 24DATE:
08/15/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Samantha Wood, Program DirectorTIME COMPLETED:
12:30 PM
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Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a 1 Year- Required Annual Inspection. Currently, this Adult Day Program is providing in-person services for 23 -30 clients (approximately). Activities include cooking, music, sewing, educational, vocational training and volunteer work. There were 24 clients at the time of this inspection.

Upon arrival, LPA observed a screening station at the entrance of facility which had hand sanitizer, a thermometer, and a sign-in sheet. LPA's temperature was documented on the sign-in sheet. Face masks and hand sanitizer are available at the front entry if needed. LPA conducted a walk-through of the facility with Program Director. The facility was clean, well-organized and a comfortable temperature of 68 F. Staff clean the facility daily and high touched surfaces are disinfected after use. The facility has a designated visitation area. The facility has 4 Smoke/Carbon Monoxide detectors which were operational at the time of inspection. There were 2 Fire Extinguishers which were fully charged and last serviced on 03/03/2023. The bathrooms were clean and sanitary, and were supplied with soap and paper towels, toilet paper and covered trash containers

The LPA observed staff and clients preparing lunch, practicing safe food-handling. The kitchen was clean and well-organized, with lots of space for clients to participate in cooking activities. There is a wonderful craft and sewing area with lots of room for cutting, sewing and ironing.

Continued...

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/15/2023
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 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		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, INC
FACILITY NUMBER: 572700336
VISIT DATE: 08/15/2023
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Continued...

There is a nice display of clients' artwork welcoming everyone at the front entrance, as well as a display of clients' handiwork available for purchase.

No deficiencies found at the time of this inspection.


No citations issued.

Exit interview conducted with Samantha Wood, Program Director, whose signature on this document confirms receipt.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2