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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198601856
Report Date: 06/14/2024
Date Signed: 06/14/2024 06:18:45 PM

Document Has Been Signed on 06/14/2024 06:18 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
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:RHEMA CARE GROUP LLC IIFACILITY NUMBER:
198601856
ADMINISTRATOR/
DIRECTOR:		KALU NWAKAFACILITY TYPE:
735
ADDRESS:755 WALNUTHAVEN DRIVETELEPHONE:
(818) 824-0340
CITY:WEST COVINASTATE: CAZIP CODE:
91790
CAPACITY: 4CENSUS: 4DATE:
06/14/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:09 PM
MET WITH:Direct Support Staff Ngozi Williams TIME VISIT/
INSPECTION COMPLETED:
05:15 PM
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LPA Ramirez was greeted by Direct Support Staff (DSP) Ngozi Willams and explained the purpose of the visit. LPA Ramirez returned to the facility to clear deficiency issued on 5/28/2024 during annual inspection. LPA Ramirez observed bathroom#1 walls to be free of blackish and brown spots throughout various corners and upper ceiling walls. No further action is required. Deficiency has been cleared.

Exit interview was conducted. A copy of this report, and Letter of Deficiencies Cleared, was provided.
SUPERVISORS NAME: Tony Vasallo
LICENSING EVALUATOR NAME: Kimberly Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/14/2024
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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