<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320332
Report Date: 11/19/2022
Date Signed: 11/19/2022 10:02:15 AM

Document Has Been Signed on 11/19/2022 10:02 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
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:TRUE DESTINYFACILITY NUMBER:
198320332
ADMINISTRATOR:REED, SHEILAFACILITY TYPE:
735
ADDRESS:10613 S 8TH AVE.TELEPHONE:
(310) 704-4476
CITY:INGLEWOODSTATE: CAZIP CODE:
90303
CAPACITY: 4CENSUS: 0DATE:
11/19/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:54 AM
MET WITH:Sheila ReedTIME COMPLETED:
10:30 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
This is a continuation of the pre-licensing visit that was conducted and recorded on 11/09/22 for True Destiny.

On 11/19/22 at 9:00am, Licensing Program Analyst (LPA) Perry Scott and applicant, Sheila Reed, toured the facility for the corrections that were necessary for the facility to be licensed and incompliance with title 22. The facility has corrected the following deficiencies:
LPA observed that there are now locks on the medication cabinet, supply cabinet in laundry room, and on the cabinet under the sink where toxins will be held.

LPA observed that there is a cabinet with a lock for staff/resident files.

LPA observed that the water temperature now measures 113.9 degrees f.

LPA observed that there are no obstructions or hazards in the backyard.

LPA observed that there is now a shower rod and curtain in the bathroom.

LPA observed that the landline phone in the living room is now working.

Component III:
LPA Scott conducted the Component III PowerPoint with the applicant, Sheila Reed, that provided information about how to operate the facility and stay in compliance with title 22.

LPA observed that all deficiencies were corrected during this pre-licensing inspection.

An exit interview was conducted, and a copy of this report has been furnished to the applicant, Sheila Reed. LPA Scott will submit a copy of this facility evaluation report to the Central Applications Unit (CAU) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAU Analyst assigned to their application.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2022
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 1