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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320333
Report Date: 12/02/2023
Date Signed: 12/02/2023 11:12:20 AM

Document Has Been Signed on 12/02/2023 11:12 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 ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:HAPPY NESTFACILITY NUMBER:
198320333
ADMINISTRATOR:SMITH, RONNIEFACILITY TYPE:
735
ADDRESS:1411 W BENNETT STTELEPHONE:
(310) 874-3157
CITY:COMPTONSTATE: CAZIP CODE:
90220
CAPACITY: 4CENSUS: 0DATE:
12/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Ronnie Smith, AdministratorTIME COMPLETED:
11:20 AM
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On 12/02/2023 at 9:05 AM, Licensing Program Analyst (LPA) Regina Cloyd conducted an unannounced Required – 1 Year Inspection to the above-named facility and met with the Administrator Ronnie Smith. LPA explained the purpose of the visit and was accompanied by Mr. Smith inside and outside the facility during this inspection. This facility is licensed to serve 4 adults ages 18 – 59 years. There are no clients currently residing in this facility nor staff working.

The home is one-story with four (4) bedrooms, 1 1/2 bathrooms, a one (1) car garage situated in a residential neighborhood. It includes a living, dining, kitchen, and laundry area.



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.

Four out of four client’s bedrooms were checked. Mattresses were in good condition, 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 at 108 degrees Fahrenheit. This facility is prepared to provide clients with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb.

LPA observed lock cabinet where Medications will be stored and inaccessible. First aid kit is fully stocked. Smoke and carbon monoxide detectors were in compliance and operational.



The administrator is current on his first aid certificate and Adult Residential Facility certification is active.

Continue to 809-C.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE: DATE: 12/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/02/2023
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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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: HAPPY NEST
FACILITY NUMBER: 198320333
VISIT DATE: 12/02/2023
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No deficiencies cited.

An exit interview was conducted and technical assistance provided. A copy of this report was discussed and left with Administrator Ronnie Smith.

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

DATE: 12/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2023
LIC809 (FAS) - (06/04)
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