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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 576803973
Report Date: 01/06/2022
Date Signed: 01/06/2022 10:45:44 AM

Document Has Been Signed on 01/06/2022 10:45 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, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
FACILITY NAME:GALILEO PLACE ADULT DAY PROGRAMFACILITY NUMBER:
576803973
ADMINISTRATOR:YOO, TANYAFACILITY TYPE:
775
ADDRESS:1909 GALILEO CT., STE. C.TELEPHONE:
(530) 758-5566
CITY:DAVISSTATE: CAZIP CODE:
95618
CAPACITY: 70CENSUS: DATE:
01/06/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Tanya Yoo, Administrator and Amy Meier, Program CoordinatorTIME COMPLETED:
10:45 AM
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Licensing Program Analyst Jill Nakagawa arrived at Galileo Place and met with Administrator Tanya Yoo and Program Coordinator Amy Meier. Covid-19 protocols were discussed to plan for potential Saturday Club starting operations in February. Vaccinations, testing and documentation were discussed. Signage and social distancing were also covered in the conversation.

Staff is looking at starting the program out slowly and keeping participants in cohorts if possible. Also considered, pre-visit screening done on-line either through Facebook or other website.

LPA shared information from the County as well as the PINs from State DSS.

Facility is well-stocked with Rapid Response tests and PPE, and staffing has been addressed to cover cleaning and sanitization.

Will need to discuss Guardian and clearance of volunteers and future staff.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 01/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/06/2022
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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