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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197603524
Report Date: 01/24/2024
Date Signed: 01/24/2024 02:42:15 PM


Document Has Been Signed on 01/24/2024 02:42 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364



FACILITY NAME:DURANDO HOME, INC.FACILITY NUMBER:
197603524
ADMINISTRATOR:JAMES DURANDOFACILITY TYPE:
740
ADDRESS:1208 WEST H-15TELEPHONE:
(661) 940-5418
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:4CENSUS: 4DATE:
01/24/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:James DurandoTIME COMPLETED:
03:00 PM
NARRATIVE
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On 01/24/2024 LPA Casillas arrived at facility above to conduct an initial 10-day complaint investigation for complaint 31-AS-20240118100349. This Case Management is not related to the original complaint visit. During the facility tour LPA observed that there was not enough perishable food for two (2) days.

During LPA’s tour, LPA observed there was not a two-day supply of non-perishable food items. LPA observed that there was no food available for the lunch meal. LPA was told by staff (S1) that food was to be purchased as of Monday 01/22/24 but nothing had been delivered or brought to the facility.

LPA Casillas explained the Administrator will need to immediately purchase a two-day supply of perishable food. LPA explained the due date was 01/24/2024. LPA also advised Administrator that a weekly menu will need to be sent to LPA Casillas via email for the next six weeks. During course of visit, Administrator purchased sufficient perishable food for two-days for all residents in care.

Citation Issued. Appeal rights discussed and provided. Exit Interview conducted.

SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Lorena CasillasTELEPHONE: 818-304-2695
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 01/24/2024 02:42 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364


FACILITY NAME: DURANDO HOME, INC.
FACILITY NUMBER: 197603524

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/24/2024
Section Cited
CCR
87555(b)(26)

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87555General Food Service Requirements(b)The following food service requirements shall apply:
(26)Supplies ... and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by:
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Administrator purchased perishable food that was delivered to the facility on day of visit. Administrator will provide a weekly menu to LPA via email for the next six weeks.
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Based on LPA’s view of the food supply, the licensee did not comply with the section cited above in not providing a two day supply of perishable foods this poses a Health, Safety, and Personal risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Nichelle GillyardTELEPHONE: (818) 596-4370
LICENSING EVALUATOR NAME: Lorena CasillasTELEPHONE: 818-304-2695
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2