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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 576803973
Report Date: 07/14/2023
Date Signed: 07/14/2023 03:41:03 PM

Document Has Been Signed on 07/14/2023 03:41 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:GALILEO PLACE ADULT DAY PROGRAMFACILITY NUMBER:
576803973
ADMINISTRATOR:AMY MEIERFACILITY TYPE:
775
ADDRESS:1909 GALILEO CT., STE. C.TELEPHONE:
(530) 758-5566
CITY:DAVISSTATE: CAZIP CODE:
95618
CAPACITY: 70CENSUS: 6DATE:
07/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Amy Meier, AdministratorTIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced on 7/14/2023 at approximately 1:00PM to perform a 1 Year Required Inspection. The facility operates Monday through Friday from 9 AM to 3 PM, and the second and fourth Saturday from 10 AM to 3 PM. The Program provides lunch, snacks and beverages.

There were 6 clients attending at the time of inspection. There were 2 staff and
1 service animal, a parrot named Violet..

The main dining/day room has lots of tables to accommodate an array of activities, enjoy meals, or read the paper. The room also has a grand piano which several of the residents are able to play. The kitchen has locked cupboards and drawers for hazardous and/or sharp materials. The laundry room does have a store of cleaning supplies, which are stored behind locked door. Dangerous items are stored and locked and inaccessible to clients. There was a supply of hygiene products and paper products available for clients, as well as a supply of PPE. All exterior doors are alarmed with all exits free from obstruction. The facility was clean, well-organized and a comfortable temperature of 70 F. The back yard was designed for ample mobility, with shaded pathways and safe water features. The facility has a central fire alarm/sprinkler system. There are 4 fire extinguishers which are fully charged and dated 12/05/2022.

Exit interview conducted with Administrator, whose signature on this document confirms receipt.
No deficiencies cited during this inspection.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 07/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/14/2023
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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