Facility Evaluation Report
On 6/10/25, Licensing Program Analyst (LPA’s) J. Leffall arrived unannounced to conduct an Annual Inspection. LPA introduced self, stated the purpose of the visit, and was greeted by Staff (S1) Elizabeth Pugh. LPA then met with Administrator (A1) Nicholas Donaldson. Regional Director Dawn Reynoso arrived shortly after LPA’s arrival. All clients were participating in Community Integration during the inspection. LPA conducted facility tour with S1.
LPA toured the facility. All passageways and exits were clear and free from obstruction. Facility was at a comfortable temperature. The Day Program has 7 classrooms. LPA toured lab room, library, art room, media room, computer club, game room and kitchen. All classrooms and activity areas were clean and odor free. Clients bring their lunches. Kitchen is for small cooking experiences and appeared clean. Food was observed to be stored in refrigerator and freezer. Client’s bathrooms were observed clean, and fixtures were functioning properly. Client lockers were observed in the art room and hall locked. Cleaning supplies observed stored and locked in supply closet. Facility quiet room and changing room was toured. Fire extinguisher observed throughout the facility with a serviced date 11/3/2023. Carbon monoxide was tested and observed to be operational. A sample of client files reviewed to have all of the required documents. Samples of staff files were also reviewed to have current First Aid/CPR, fingerprinted clear and associated to the facility. Water temperature maintained at a range of 110.8 to 116.8 degrees F in 3 bathrooms. Fire drill completed on 5/9/25.
No deficiencies issued during this inspection.
Exit Interview conducted. The following documents are requested and to be submitted to Fresno CCL by: 6/24/25. LIC 308, LIC 500, LIC 610D, LIC 9283, and LIC 9020.
A copy of this report was provided to Administrator whose signature confirms receipt of this report.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction