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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602578
Report Date: 10/13/2023
Date Signed: 10/17/2023 09:27:29 AM

Document Has Been Signed on 10/17/2023 09:27 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:TRUE CARE RESIDENTIAL HOMES INCFACILITY NUMBER:
198602578
ADMINISTRATOR:REDJAL, IVY GFACILITY TYPE:
735
ADDRESS:11309 FERINA STREETTELEPHONE:
(714) 883-8349
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY: 4CENSUS: 4DATE:
10/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Ivy Redjal TIME COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Nicol Wesley conducted an unannounced Required 1 year inspection at the facility and met with lead staff Eulesa Matulac and explained the purpose for todays visit. Administrator Maria C Rualo arrived and joined the visit. The facility phone number is 562 584 4605.

The facility is licensed to serve 4 non-ambulatory clients between the age of 18 and 59 years old, vendored through Harbor Regional Center. The facility is a single-story building in a residential area, with a kitchen, dining room, living room, 4 bedrooms, 2 bathrooms, backyard, garage and detached shed. Fire extinguishers kitchen and hallway were fully charged. There are operable smoke detectors/ Carbon monoxide located throughout the facility.

Bedrooms have the required furniture, Passageways and exits are free of obstruction. LPA toured the kitchen and observed 2 days of perishables and 7 days nonperishable. The front and backyard are well maintained. The resident bathrooms are clean, and showers have non-skid materials and grab bars. The hot water temperature measured at 111.1 degrees F. Infection control signs were observed throughout the facility. Medications and MAR log was reviewed. Administrator certificate Ivy G Redjal # 6036230735 expire 8/9/2023. Last emergency disaster drill 10/05/23.

There were no deficiencies observed during the visit.
Exit interview held and a copy of the report was provided to Administrator.
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Nicol Wesley
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2023
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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