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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198202233
Report Date: 01/18/2024
Date Signed: 01/18/2024 12:30:52 PM

Document Has Been Signed on 01/18/2024 12:30 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
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:DENKER HOUSEFACILITY NUMBER:
198202233
ADMINISTRATOR:GREG SWIFTFACILITY TYPE:
735
ADDRESS:20902 DENKER AVENUETELEPHONE:
(310) 212-6721
CITY:TORRANCESTATE: CAZIP CODE:
90501
CAPACITY: 9CENSUS: 7DATE:
01/18/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:09 AM
MET WITH:House Manager Leticia PachecoTIME COMPLETED:
12:50 PM
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On 01/18/2024 at 8:09 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with House Manager Leticia Pacheco . LPA explained the purpose of the visit and were accompanied by House Manager inside and outside the facility during this inspection.

The facility is a two-story structure located in a residential neighborhood. It consists of the following: five (5) client's rooms, bedroom/manager’s office, two and a half (2 1/2) common bathrooms, family room, dining area, kitchen, breakfast nook, living room, and two (2) outside patio areas.

The facility is approved to serve (nine) 9 ambulatory adults with a mental health diagnosis.

Outside grounds were toured and no bodies of water were observed. Patio furniture under a shaded area was accessible to clients. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises.

4 out of 4 client’s bedrooms were checked. Adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly. Adequate lighting and toiletries accessible to clients. LPA Cloyd tested hot water temperature and it measured 116.6 degrees Fahrenheit. This facility provides clients with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb.

LPA observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days.



Continue to LIC809-C.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE: DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/18/2024
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 11
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: DENKER HOUSE
FACILITY NUMBER: 198202233
VISIT DATE: 01/18/2024
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LPA observed that Medications were safe, locked and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. Last Disaster drill was conducted on 12/30/2023. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational.

Three (3) staff records were reviewed, 3 out of 3 staff records had current first aid certificates and had required criminal record clearances or criminal record exemptions. The House Manager was interviewed.

Five (5) client records were reviewed and, 5 out of 5 client records had Admission Agreements and Medical Assessments. Three (3) clients were interviewed. Two (2) client medications was reviewed. LPA Cloyd reviewed P&I money, 3 out of 3 residents P&I had $0.00 balance.

No deficiencies cited.

An exit interview was conducted and technical assistance was provided. A copy of this report was discussed and left with the House Manager Leticia Pacheco.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC809 (FAS) - (06/04)
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