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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606588
Report Date: 06/19/2023
Date Signed: 06/21/2023 08:52:50 AM


Document Has Been Signed on 06/21/2023 08:52 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754



FACILITY NAME:TURNING POINT QUALITY CAREFACILITY NUMBER:
197606588
ADMINISTRATOR:WILMA CARSTENSENFACILITY TYPE:
740
ADDRESS:15903 CLEAR SPRING DRIVETELEPHONE:
(562) 943-7900
CITY:LA MIRADASTATE: CAZIP CODE:
90638
CAPACITY:6CENSUS: 4DATE:
06/19/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:20 AM
MET WITH:Administrator Wilma Carstensen TIME COMPLETED:
12:10 PM
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Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced Annual inspection focused on domains within the Compliance and Regulatory Enforcement (Care) Tools. LPA met with staff Josefina and explained the reason for the visit. Shortly after, the administrator Wilma Carstensen arrived and assisted with the visit.
The following were observed/inspected:
Physical Plant: The facility is a single story house and located in a residential neighborhood. The facility consists of four (4) residents bedrooms, two bathrooms, one live in staff room, kitchen, laundry area, staff office, dining room and a detached garage. The first and fourth residents bedrooms have two beds, two chairs, two drawers, and required linen and furniture and sufficient lighting and closet space. The second and third residents bedrooms have one bed, one chair, one drawer, required linen and furniture and sufficient lighting and closet space. The two residents bathrooms are clean and operational. The hot water temperature in the two bathrooms was measured within title 22 regulations. The food supply in the kitchen and pantry has at least two days perishable and seven days non perishable food. The front and back yard are free of debris and obstructions. The back yard has shaded area with tables and chairs for residents to use. All the appliances are clean and working properly. The common areas such as living room and dining room are clean and have the required furniture. The smoke detectors and carbon monoxide detectors are located in each residents bedrooms and common area and they are working properly.MEDICATION: Medications are stored, locked and inaccessible to residents.POSTINGS: All necessary postings were observed to be posted in appropriate places. A current Plan of Operations and Disaster plan is maintained at the facility. Operating telephone was observed and available for resident use.RECORD REVIEW: LPA reviewed four (4) resident files, four(4) residents medications, and three (3) staff files.

A deficiency is being cited under the California Code of Regulations Title 22 Division 6 Chapter 8 and will be noted on 809-D page.

An exit interview is conducted, copy of the report and appeal rights given was provided to the administrator.
SUPERVISOR'S NAME: Fernando FierrosTELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose VillalobosTELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:
DATE: 06/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2023
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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Document Has Been Signed on 06/21/2023 08:52 AM - 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754


FACILITY NAME: TURNING POINT QUALITY CARE
FACILITY NUMBER: 197606588

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
HSC
1569.618(c)(3)
Other Provisions
(c) The facility shall employ, and the administrator shall schedule, a sufficient number of staff members to do all of the following: (3) Ensure that at least one staff member who has cardiopulmonary resuscitation (CPR) training and first aid training is on duty and on the premises at all times. This paragraph shall not be construed to require staff to provide CPR.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above as (3) of (3) staff files observed did not have active First Aid/CPR cerification which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 06/21/2023
Plan of Correction
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Administrator to schedule First Aid/ CPR training for staff and notify Licensing of scheduled date by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Fernando FierrosTELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose VillalobosTELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:
DATE: 06/19/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/19/2023
LIC809 (FAS) - (06/04)
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