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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602276
Report Date: 08/12/2022
Date Signed: 08/12/2022 02:13:12 PM

Document Has Been Signed on 08/12/2022 02:13 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 DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:NEW BEGINNINGS RESPITE CARE LLCFACILITY NUMBER:
198602276
ADMINISTRATOR:JOHNSON, SHYLEE ROSHAYFACILITY TYPE:
735
ADDRESS:21908 S VERMONT AVETELEPHONE:
(424) 358-1512
CITY:TORRANCESTATE: CAZIP CODE:
90502
CAPACITY: 6CENSUS: 3DATE:
08/12/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Barbara TurnerTIME COMPLETED:
12:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced Case Management visit to New Beginnings Respite Care LLC.

Upon arrival, LPA called the facility to conduct a risk assessment. LPA spoke with House Manager (HM) Barbara Turner who confirmed the facility is Covid-19 free.

LPA met with HM Turner and explained the purpose of today’s visit is to serve an ORDER TO LICENSEE/FACILITY OF IMMEDIATE EXCLUSION FROM FACILITY FOR STAFF #1.

An investigation conducted by the California Department of Social Services determined that Staff #1 violated California Code of Regulations Title 22 for the client’s personal rights. Health and Safety Code 1569.58 was also issued, informing the administrator that an excluded person may petition for reinstatement to the Department one year after the effective date of the exclusion order.

LPA Montoya gave a copy of the Immediate Exclusion letter for the New Beginnings Respite Care LLC to HM Barbara Turner.

HM Barbara Turner stated she understood the Immediate Exclusion order and that she understands the mentioned staff is not allowed to be physically present in the facility.



LPA Montoya conducted a health and safety inspection, reviewing the physical plant and the facility’s food supply.

An exit interview conducted. Due to technical difficulty, a hard copy of this report was not given to House Manager Barbara Turner. LPA emailed the report to HM Turner at TURNERGBARBARA@YAHOO.COM.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE: DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/12/2022
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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