198601465-8-12-2024-11-AS-TWAN-D83W3Q-20240812165618

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198601465
Report Date: 08/12/2024
Date Signed: 08/12/2024 04:56:29 PM

Document Has Been Signed on 08/12/2024 04:56 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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME:	GUIDING HANDS RESIDENTIAL CARE II		FACILITY NUMBER:	198601465
ADMINISTRATOR/ DIRECTOR:	TERESA MCDOWELL		FACILITY TYPE:	735
ADDRESS:	1307 W. 41ST STREET		TELEPHONE:	(323) 903-5694
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90037
CAPACITY: 6		CENSUS: 4	DATE:	08/12/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Troy Banner - Administrator		TIME VISIT/ INSPECTION COMPLETED:	04:54 PM

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On 08/12/2024 at 09:45 AM Licensing Program Analyst (LPA) Troy Watson conducted an unannounced annual required visit. LPA met with the Administrator Troy Banner and Lisa Glenn a DSP staff member and explained the purpose of the visit. The facility is licensed for (6) developmentally disabled or mentally ill adults ages 18 - 59. Currently the home has (4) clients. The facility is a two-story structure located in a residential neighborhood and consists of the following: (4) client bedrooms, (1) living room area (1) dining area, (1) kitchen, one outside patio area, and a front porch area and a laundry room area.

LPA Troy Watson toured the inside and outside of the facility with the DSP Lisa Glenn and the client rooms were checked. Mattresses and box springs were in good condition. Adequate lighting and lamps were present and working. There was plenty of dresser chairs and closet space in each client bedroom.

Evaluation Report continues LIC 809-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2024

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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: GUIDING HANDS RESIDENTIAL CARE II	FACILITY NUMBER: 198601465
	VISIT DATE: 08/12/2024

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Bed linens, comforters and bath towels were adequately stocked at the time of visit. The bathrooms were found to be within Title 22 regulations. Toilets and water faucets worked properly. The bathtub was free of mold/mildew. The water temperature properly measured between 105 F and 118 F in the bathrooms and in the kitchen.

LPA Troy Watson observed the facility clean, sanitary, and appropriately furnished at the time of the visit. The kitchen, and refrigerators was fully stocked with food both deep freezers were also stocked with food. The administrator has (6) smoke detectors / carbon monoxide detectors that have been tested and found operational. Toxins and knives were locked and inaccessible to clients. Medications were inspected and accounted for at the time of inspection. The first aid kit was checked and fully stocked with a certified manual . LPA reviewed the facility disaster plan. The facility disaster plan was current and in compliance with Title 22 at the time of visit. Staff records and P&I were presently available for immediate review and inspection.

An exit interview was conducted, with the Lisa Glenn and a copy of this report was provided.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/12/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2024

LIC809 (FAS) - (06/04)

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