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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602405
Report Date: 04/14/2022
Date Signed: 04/14/2022 11:13:25 AM

Document Has Been Signed on 04/14/2022 11:13 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 DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:ANEW DIRECTION ADULT LIVINGFACILITY NUMBER:
198602405
ADMINISTRATOR:PATRICIA DUFRENNEFACILITY TYPE:
735
ADDRESS:2300 S PACIFIC AVETELEPHONE:
(909) 210-0365
CITY:SAN PEDROSTATE: CAZIP CODE:
90731
CAPACITY: 72CENSUS: 56DATE:
04/14/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Patricia Dufrenne. LicenseeTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Ana Soto conducted an unannounced case management to the above facility. LPA met with Patricia Dufrenne, Licensee and the purpose of the visit was explained.

On 03/10/22, LPA received a 812 from CCIB stating that 2 clients had an altercation, C1 bit C2's hand, but did not break the skin. The facility performed First Aid (poured hydrogen peroxide on the bite and put on a bandage.) There has not been any other incidents involving C1 & C2. C2 still resides in the facility. According to the licensee C1 left facility 04/05/22 for a home visit with family and 04/11/22 called the family to check on C1, family member informed them that C1 left the home and turned off C1's cellular, they cannot get in contact with C1. They have no idea where C1 is at this time. On 04/11/22, facility made a missing report with LAPD, incident report #220405002704.

An exit interview was conducted with Patricia Dufrenne, Licensee and copy of report was provided.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE: DATE: 04/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/14/2022
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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