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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191500146
Report Date: 10/04/2024
Date Signed: 10/04/2024 03:19:07 PM


Document Has Been Signed on 10/04/2024 03:19 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. ST 500
MONTEREY PARK, CA 91754



FACILITY NAME:ARTESIA CHRISTIAN HOMEFACILITY NUMBER:
191500146
ADMINISTRATOR:MICHELLE ROBISONFACILITY TYPE:
741
ADDRESS:11614 EAST 183RD STREETTELEPHONE:
(562) 865-5218
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:143CENSUS: 52DATE:
10/04/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Director of Residential Services Anne WalshTIME COMPLETED:
03:33 PM
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Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced case management visit to follow up on the incident report submitted by the Executive Director Anne Walsh dated 09/25/24 regarding one of its resident and a Staff. LPA met with Director of Residential Services (DRS) Anne Walsh and explained the reason for the visit.

During the course of the visit, LPA obtained a copy of the resident roster, staff roster and S1 trainings and write up. LPA interviewed the Director of Residential Services and a total of two staff, who shall be referred to as S1 and S2. LPA also interviewed resident #1 (R1).

On 9/11/2024, S1 rolled R1 to a family members car for an appointment. When S1 helped R1 into the vehicle, S1 made an inappropriate comment to R1. There were also reports of inappropriate touching to which both S1 and R1 denied. The facility reprimanded S1 for the inappropriate comment.

No citations were issued at this time. Additional follow up may occur. Anne Walsh was advised, and a copy of this report was sent via email due to printing issues.
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 213-1556
LICENSING EVALUATOR NAME: Jewel BaptisteTELEPHONE: (323) 400-9594
LICENSING EVALUATOR SIGNATURE:
DATE: 10/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/04/2024
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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