306005285-7-7-2022-22-AS-JHAY-CG4QMD-20220707121723

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306005285
Report Date: 07/07/2022
Date Signed: 07/07/2022 12:18:22 PM

Document Has Been Signed on 07/07/2022 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME:	ALTERNATIVE RESOURCE DAY PROGRAM		FACILITY NUMBER:	306005285
ADMINISTRATOR:	FESTIN, CRIS R		FACILITY TYPE:	775
ADDRESS:	7165 KATELLA AVE		TELEPHONE:	(714) 488-2493
CITY:	STANTON	STATE: CA	ZIP CODE:	90680
CAPACITY:	76	CENSUS: 12	DATE:	07/07/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Cris Festin		TIME COMPLETED:	12:25 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	Licensing Program Analyst (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year infection control annual visit. LPA Haley entered the Adult Day program and was greeted and granted entry by Assistant Administrator Francisca Madayag and Administrator (AD) Chris Festin, and explained the reason for the visit. LPA Haley was temperature checked, and pre-screened for COVID symptoms before entering the facility. AD Chris Festin has a current administrator certificate that expires 11/16/23. This Adult Day Program is for adults ages 18 - 69 years of age. The in-person portion of the program operates Monday through Friday, with operating hours of 8:00 AM - 12:00 Noon; however, online sessions of the program are available for participants on zoom Monday through Friday, 9:45 AM - 1:45 PM. There were 12 participants at the day program at the time of the visit, and 2 participants on zoom. All 12 participants present were participating in activities during the visit. At 10:42 AM LPA Haley and AD Chris Festin began the tour of the facility. LPA Haley observed a screening station equipped with sanitizer, temperature thermometer, mask and a temperature log book at the entrance of the facility. All required postings were on the walls throughout the facility. LPA observed a conference room with activity packs being prepared for the program participants. Two participants were in the computer room working on the computers. Both restroom areas for the participants were clean and well organized. Both restrooms had the required postings and were equipped with paper towels, hand soap, and hand sanitizer. The kitchen was clean and well organized. Knives or sharp objects are not stored in the kitchen. Participants are only allowed in the kitchen when accompanied by a job coach. Every Wednesday there's a cooking class for the participants and the class is also available on zoom. Continued on LIC 809C Dated: 7/7/22

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome Haley	TELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022

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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: ALTERNATIVE RESOURCE DAY PROGRAM	FACILITY NUMBER: 306005285
	VISIT DATE: 07/07/2022

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The exterior portion of the facility was clean, with clear walkways free of clutter and debris. There was a shaded patio area with tables and chairs. There's a screening station in the rear of the facility for participants and staff who enter the facility through the parking lot in the back. The program has four vans for transportation that are clean and well maintained.

All knives and sharp objects are locked in the staff office, and inaccessible to residents. The first aid kit with all the required elements is also kept in the staff office.

LPA Haley observed a charged fire extinguisher, stored in the kitchen. The sprinkler system and smoke detectors were inspected by the fire department in 2020. Currently, the alarm company monitors the Fire Alarm system. The last fire drill was conducted July 1, 2022. There were no bodies of water observed.

No deficiencies are being cited during todays visit. An exit interview conducted and a copy of the report was left at the facility.

SUPERVISOR'S NAME: Luz Adams	TELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome Haley	TELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:	DATE: 07/07/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2022

LIC809 (FAS) - (06/04)

Page: 1 of 1