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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 191592599
Report Date: 09/05/2024
Date Signed: 09/05/2024 02:40:10 PM

Document Has Been Signed on 09/05/2024 02:40 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:FOUNDERS HOUSE OF HOPEFACILITY NUMBER:
191592599
ADMINISTRATOR/
DIRECTOR:		JOSHUA LAJARAFACILITY TYPE:
735
ADDRESS:18025 PIONEER AVE.TELEPHONE:
(562) 860-3351
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY: 98CENSUS: 83DATE:
09/05/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator Joshua LajaraTIME VISIT/
INSPECTION COMPLETED:
02:55 PM
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On 9/5/2024, Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced Plan of Correction (POC) visit to follow up on the citations issued during the 8/19/2024 complaint investigation # 28-AS-20240813123829. Upon arriving at the facility, LPA met with Business Manager/ Mark Cruz, and Administrator / Joshua Lajara who assisted with the visit. The purpose of this visit was explained to both the Business Manager and Administrator.

On 8/19/2024 the facility was cited for:

80087 Buildings and Grounds, regarding bed bugs in room #18.



80088 Furniture, Fixtures, Equipment, and Supplies, regarding the facility room temperature being too hot.

During today’s visit, LPA took photos of the new thermometer installed around the facility, photos of portable air conditioners, Orkin pest control invoices and portable air conditioner receipts. Per Orkin invoice the facility has treated rooms #17, #18, and #19. LPA spoke to the Orkin technician who stated the facility was cleared of bed bugs. LPA toured facility with Assistant Administrator Erlinda Ramos and tested the room temperature in the following rooms: #2- 88.3, #11- 86.5, #17- 82.5, #18- 83.8, #28- 90, #36A- 86, #42- 84.3, and #44- 83.4. All rooms was measured in degrees F. During the visit, maintenance installed the portable air conditioning units in following rooms that was out of compliance with the temperature. LPA retested the temperature in the following rooms: #2- 83.8, #11- 84, #28- 85.4, 36A- 85.The plan of correction will be cleared today.

Exit interview was conducted with Business Manager Mark Cruz, and Administrator Joshua Lajara. A copy of the report was provided.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Jewel Baptiste
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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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