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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 577004734
Report Date: 03/24/2023
Date Signed: 03/24/2023 01:49:17 PM

Document Has Been Signed on 03/24/2023 01:49 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:REACH ADULT DEVELOPMENT SITE #6FACILITY NUMBER:
577004734
ADMINISTRATOR:SUH, SEANFACILITY TYPE:
775
ADDRESS:921 JEFFERSON BLVDTELEPHONE:
(916) 203-6246
CITY:WEST SACRAMENTOSTATE: CAZIP CODE:
95691
CAPACITY: 30CENSUS: 27DATE:
03/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Janeva James, Site Manager and Judith Savon, Program Director TIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced Annual Required – 1 Year Inspection at this facility and met with Site Manager Janeva James (JJ) and Judith Savon (JS), Program Director At the time of inspection there were 16 in-person clients with seven (7) staff.

LPA arrived at 9:00Am to find clients arriving to in-person program. There are currently 6 clients who have chosen to continue with Zoom/Virtual Program participation. Staff were all wearing masks and hand sanitizer, soap and paper towels were all available for proper hygiene practices. The facility was found to be clean and at a comfortable temperature of 72 F with all exits free from obstruction. Water temperature in the kitchen and two (2) bathrooms was 120 F. Cleaning supplies and other toxins were locked in a closet inaccessible to clients. The kitchen is used for a cooking class two (2) days per week, but meals are not provided. Clients bring their own lunches each day which are stored in refrigerator.

LPA observed a designated isolation/quiet room for any client who needs a quiet space. It could also be utilized for asymptomatic or symptomatic clients waiting for transport out of the facility. There were several other areas for clients to use: small room for reading, drawing or individual class, a group room for watching movies, exercise, and other group activities. There is an outside area in the back of the building that has an area for basketball, gardening projects, picnics. The facility is awaiting the delivery of a large canopy to be used for shelter during activities during the warm, sunny weather. The facility was full of activities going on that involved each and every client.

Mandatory postings were found by the front door, including the Clients' Personal Rights.

No deficiencies were cited during today's inspection.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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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