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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198600486
Report Date: 04/25/2022
Date Signed: 04/25/2022 02:17:49 PM

Document Has Been Signed on 04/25/2022 02:17 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:CHOICES R US - FAUSTFACILITY NUMBER:
198600486
ADMINISTRATOR:GILBERT CARDENASFACILITY TYPE:
735
ADDRESS:13019 FAUST AVETELEPHONE:
(562) 803-7969
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY: 4CENSUS: 3DATE:
04/25/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:10 PM
MET WITH:Gilbert Cardenas (Administrator)TIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Kruz Long conducted a site visit for the annual inspection. LPA met with Gilbert Cardenas (Administrator) who assisted with the visit. The facility is licensed to serve developmentally disabled adults ages 18 to 59 years old, ambulatory only. Approved delayed egress device.

The facility is located in a residential area. A tour of the single-story facility includes: Living room, kitchen, dining area, 4 client bedrooms, 1 1/2 bathrooms and an attached garage/laundry area.

During today's inspection, LPA observed the following: Licensee is not operating beyond the conditions and limitations specified on the license, including the capacity. All medications for clients are kept locked and inaccessible to other clients. The bathrooms are clean and operational. Clients bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. Hygiene products are readily available. The hot water temperature was tested in the bathroom and measured at 114.6 degrees F. The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. All storage areas for cleaning solutions, toxins, knives, and hazardous items are in a secured cabinet and inaccessible to clients. The last Fire/Emergency Drill was conducted on 12/02/21. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguisher was observed in the kitchen area and is fully charged. Staff has criminal record clearance. Staff has current first aid and CPR. The first-aid kit is fully stocked w/First-aid Manual. A shaded area with chairs is provided in the back yard. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. There are no security bars or weapons on the premises.

No deficiencies were observed during today's visit.

An exit interview was conducted with Gilbert Cardenas and a copy of this report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2022
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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