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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157203358
Report Date: 06/20/2022
Date Signed: 06/21/2022 07:31:31 AM


COMPREHENSIVE INSPECTION

Document Has Been Signed on 06/21/2022 07:31 AM - 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, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME:POSITIVE DIRECTIONS #9FACILITY NUMBER:
157203358
ADMINISTRATOR:HOBBS, ANNFACILITY TYPE:
740
ADDRESS:329 EL CAMINO DRIVETELEPHONE:
(661) 721-3525
CITY:DELANOSTATE: CAZIP CODE:
93215
CAPACITY: 4CENSUS: 4DATE:
06/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Licensee Ann Hobbs, via telephone TIME COMPLETED:
03:15 PM
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On 06/20/2022, Licensing Program Analyst (LPA) L. Salazar arrived unannounced to conduct an Annual Infection Control Inspection. LPA introduced self, stated the purpose of the visit and was granted entry to the facility. LPA met with Direct Support Personnel 2 (DSP), Vanessa Granados. Facility has one central entry and exit point. Visitor log-in/temperature check observed upon entry. DSP II and LPA toured the facility.

Facility was found to be free from obstruction, odor and/or fire clearance issues. Hand sanitizer was available to residents and visitors. Social distancing is maintained in the common and dining areas. Bathrooms have a trash can with a lid. Hand washing posters were observed by the bathroom sink. Bedrooms are single occupant.

Facility Mitigation plan has been submitted to CCL. Infection control procedures described in the plan were observed and reviewed with LPA include: Daily symptoms screenings (for staff, persons in care and visitors), testing, visitation, quarantine/isolation procedures, emergency staffing plan, PPE storage, use and training, as well as daily infection control procedures.

Postings to encourage face coverings and hand washing were observed. Furniture in common and dining areas are spaced to promote distancing. Staff were all observed wearing face coverings. LPA observed a 7 day of non-perishables and 2 day supply of perishables. Cleaning and PPE supplies were observed.

(continued 812-C)
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2022
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: POSITIVE DIRECTIONS #9
FACILITY NUMBER: 157203358
VISIT DATE: 06/20/2022
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(Continued from 809)

Exit interview was conducted. No deficiencies cited on todays inspection. Licensee gave verbal permission for DSP to sign for report and a copy of this report was provided to DSP I at the time of visit.

The following documents are requested to be submitted to Fresno CCL by: 06/30/22. LIC 308, LIC 309 (if applicable), LIC 500, LIC 610-ES, LIC9020, and updated Administrator certificate.

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Lisa Salazar
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2022
LIC809 (FAS) - (06/04)
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