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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602378
Report Date: 08/26/2022
Date Signed: 08/26/2022 11:41:27 AM

Document Has Been Signed on 08/26/2022 11:41 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:RHEMA CARE GROUP LLC IIIFACILITY NUMBER:
198602378
ADMINISTRATOR:NWAKA, KALUFACILITY TYPE:
735
ADDRESS:1999 WRIGHT STREETTELEPHONE:
(818) 824-0340
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY: 4CENSUS: 3DATE:
08/26/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Angela NwakaTIME COMPLETED:
10:30 AM
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Licensing Program Analysts (LPA) Elizabeth Irra conducted an unannounced Required- 1 year visit focusing on COVID-19 Infection Control Practices. LPA met with Angela Nwaka and explained the purpose of the visit.
This home consists of (3) bedrooms, 1 1/2 bathrooms, kitchen, dinning area, living room and an attached garage.
  • COVID-19 Infection Control Practices were observed at the entrance of this facility, in common rooms and hallways.
  • COVID-19 signs observed throughout this facility.
  • Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed.
  • Bathrooms have hand washing signs, liquid hand soap and paper towels.
  • PPE supplies observed. Additional PPE supplies inside the garage.
  • Hygiene supplies observed. Additional PPE supplies inside the garage.
  • Hand Sanitizers observed throughout this facility.
  • Medications for (3) Clients were reviewed.
  • Per Ms. Nwaka, (3) clients have both COVID vaccines and booster
  • Per Ms. Nwaka, all staff have both COVID vaccines and booster.
  • Staff responsible for direct care and supervision were observed wearing masks.

Exit interview conducted, a copy of this report and Appeal Rights were provided to Ms. Nwaka.
SUPERVISORS NAME: Christine Yee
LICENSING EVALUATOR NAME: Elizabeth Irra
LICENSING EVALUATOR SIGNATURE: DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/26/2022
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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