Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an announced pre-licensing visit to the facility. LPA met with Facility Administrator Samantha Gonzales and Designee Christian Barnes.

A Change of Location (CHOL) Application to operate an Adult Day Program (ADP) was received by Community Care Licensing (CCL) on 05/17/2024. The proposed facility is a unit in a shopping center located in Oxnard, CA. Proposed facility hours are Monday through Friday 08:30AM to 02:30PM. A Fire Clearance was approved for a maximum capacity of 68 ambulatory and 2 non-ambulatory clients with a total capacity of 70 clients on 07/10/2024. During the fire inspection, the facility's sprinkler system was tested. During today's visit, LPA observed 3 (three) fire extinguishers to be fully charged and last serviced 03/08/2024. From 09:00AM to 09:05AM, the facility's 4 (four) combination smoke and carbon monoxide detectors were tested; all were functional at the time of the visit.

Beginning at 08:47AM, a tour of the physical plant was conducted and the following observed:

The facility consists of 2 (two) open activity areas, a kitchen, 2 (two) conference rooms, a staff area, various locked storage closets, locked office spaces, and 3 (three) individual restrooms, one of which is designated for staff use. The proposed facility does not contain an outdoor activity space. All areas observed appeared to be safe and free of hazards. The bathrooms are safe and sanitary and in operating condition with toilet paper, soap, and paper towels. Hot water was measured in a designated client restroom and measured within the required range. Large window separating the entry and program space had been broken and was observed to be boarded up at the time of the visit. Administrator indicated the glass will be replaced within 3-4 business days.

Admission agreements and Needs and Services plan will be maintained for each participant and/or their authorized representative. Client records will be maintained on the facility premises in a locked staff office. Medications will be locked in the medication closet in a locked medication cabinet. First aid supplies were observed to be complete. Emergency supplies and water were observed both on premises and via