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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601429
Report Date: 02/21/2023
Date Signed: 02/21/2023 09:58:59 AM

Document Has Been Signed on 02/21/2023 09:58 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:CHOICES R US - WARDFACILITY NUMBER:
198601429
ADMINISTRATOR:GILBERT CARDENASFACILITY TYPE:
735
ADDRESS:2100 WARD AVETELEPHONE:
(562) 445-3009
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 3CENSUS: 3DATE:
02/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Sylvanus Onwuanaku-House ManagerTIME COMPLETED:
10:00 AM
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On 2/21/2023 LPA/Alfonso Iniguez conducted an unannounced inspection at this facility. The purpose of today’s visit was to conduct an Annual inspection. On today’s visit LPA met with Sylvanus Onwuanaku-House Manager. Currently, the home has (2) ambulatory clients and (1) non-ambulatory client. At this time, there are no clients residing in the facility with Restricted Health Care conditions. All clients are between the ages of 18-59. The last fire drill was conducted on 01/16/2023.

LPA/Alfonso Iniguez conducted a review of client service records, client P & I records, and personnel records. LPA found records are complete and well maintained. LPA conducted a review of Medication Administration Record (MAR) and medications. All medications and records are maintained in compliance with label instructions.

LPA/Alfonso Iniguez together Sylvanus Onwuanaku/House Manager toured the entire facility inside and outside grounds. The home consists of (3) client bedrooms, (1) bathroom, living room, kitchen, dining area, and patio area. All facility rooms are clean and in good repair. LPA observed the following during inspection of client rooms: mattresses and box springs in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. LPA observed fully stocked bedding and towel closet. LPA observed bathrooms were found to be within Title 22 regulation. All bathroom fixtures are clean, in good repair, and working properly. LPA observed sufficient bedding, linens, and toiletries are accessible to clients. Water temperature properly measured at 111.4° degrees F.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE: DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/21/2023
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, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: CHOICES R US - WARD
FACILITY NUMBER: 198601429
VISIT DATE: 02/21/2023
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Food supply was inspected and is non- perishable items are adequately stocked. Facility Carbon Monoxide and Smoke Detectors were tested during inspection. Both alert systems are working properly. The facility Fire Extinguisher is fully charged and accessible. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked cabinet. Facility first aid kit was checked and in order. Outside grounds were toured and no bodies of water were observed. Outside patio with furniture is accessible to clients. All Exits/ Walkways around the home were free of debris and hazards.

According to the California Code of Regulations (Title 22, Division 6, Chapter 1), LPA did not observe deficiencies; therefore, no citations are issued.



An exit interview was conducted, and a Facility Evaluation Report was provided House Manager/ Sylvanus Onwuanaku.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2023
LIC809 (FAS) - (06/04)
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