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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 157806085
Report Date: 09/23/2021
Date Signed: 09/23/2021 02:44:29 PM

Document Has Been Signed on 09/23/2021 02:44 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, 1000 CORPORATE CNTR DR. #200A
MONTEREY PARK, CA 91754
FACILITY NAME:BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIAFACILITY NUMBER:
157806085
ADMINISTRATOR:PRINCESS WESLEYFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 6CENSUS: 5DATE:
09/23/2021
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Princess WesleyTIME COMPLETED:
03:30 PM
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On 09/23/21 at 09:20 AM, Licensing Program Analysts (LPA) Zeyda Loera conducted an unannounced Post Licensing Inspection at the facility. LPA met with Princess Wesley, Administrator. The facility currently has a provisional Short Term Residential Therapeutic Program (STRTP) license. The STRTP’s Mental Health Program Application is pending approval. The STRTP has a pending application for National Accreditation. This STRTP is licensed to serve up to six (6) ambulatory children ages 12-17 years of age. There are three (5) ambulatory minors, currently in placement.

The LPA requested the following: Personnel Report LIC500, Client Roster, Board of Meeting Minutes, Clients and Staff Files.

This facility is a one-story home with four (3) bedrooms, three (2) bathrooms, a staff office, kitchen, dining, a living room, and a laundry room. There are no bodies of water on the premises. There are no firearms or ammunitions in the facility. At 09:40 AM, LPAs conducted a walkthrough of the entire facility.

Physical Plant
The license, facility sketch, personal rights, emergency disaster form, complaints poster, emergency phone numbers and food menu are posted in a prominent, publicly accessible location in the facility. Disinfectants, cleaning solutions and sharps are kept inaccessible in a locked closet. Facility has non-perishable food for at least one week and perishable food for at least two days. Medications are centrally stored in a locked storage room. Smoke and carbon monoxide detectors were tested and in proper working order
SUPERVISORS NAME: Deborah A Santos
LICENSING EVALUATOR NAME: Zeyda Loera
LICENSING EVALUATOR SIGNATURE: DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/23/2021
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, 1000 CORPORATE CNTR DR. #200A
MONTEREY PARK, CA 91754
FACILITY NAME: BRIGHTER HORIZON TREATMENT CENTER: MAGNOLIA
FACILITY NUMBER: 157806085
VISIT DATE: 09/23/2021
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. Fire extinguishers were fully charged. First Aid Kits were checked and found to be complete. Room temperatures are maintained at 76 degrees F. The hot water temperature was tested and measured at 110 degrees F. All sinks, showers and toilets were in working order. No more than 2 children share a bedroom. All beds are in good repair; equipped with good springs, clean mattresses and pillows. Adequate supply of beddings and linens were observed. Facility provides age-appropriate clothing items and hygiene products. Overall, facility is clean, safe, sanitary and in good repair.

Operations
Facility maintains a register of clients and the register is available upon request. The board of directors regularly conducts meeting to review and discuss the STRTP's operation. The facility administrator and manager are the responsible and capable staff for communicating with emergency personnel in the facility. The facility has developed, maintained and implemented written complaint procedures.

Client Records
LPAs reviewed four (4) client records. All client records are available to the licensing agency to inspect, audit and copy upon demand. Client records contain required information including, but not limited to, consent forms, court orders, needs and services plan, removal/discipline/complaint procedures; medical assessment; safeguards for cash resources, personal property and valuables; education records; personal rights forms; and medication administration records. LPAs found that Needs and Services Plan (NSP) were not signed by authorized representatives.

Staff Records
LPAs reviewed three (6) staff records. All staff have been subjected to criminal records review and have been fingerprinted and cleared with DOJ, FBI and CACI. The administrator meets the required qualifications and/or experience. LPA was not able to verify documentation of the required education and experience requirements are maintained in the personnel file. LPA was not able to verifty requirements for Facility Managers.. LPAs were unable to verify 40 hours of annual training for direct care staff.

An exit interview was conducted, and a signed copy of this report, LIC811, LIC9102TA, LIC and appeal rights were provided to the facility administrator.
SUPERVISORS NAME: Deborah A Santos
LICENSING EVALUATOR NAME: Zeyda Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2021
LIC809 (FAS) - (06/04)
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