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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602621
Report Date: 11/09/2023
Date Signed: 11/09/2023 12:00:17 PM

Document Has Been Signed on 11/09/2023 12:00 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
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:INFINITE QUALITY CARE LLCFACILITY NUMBER:
198602621
ADMINISTRATOR:JONES, RONESHIAFACILITY TYPE:
735
ADDRESS:14112 S. ALBERTSON AVETELEPHONE:
(562) 618-5781
CITY:COMPTONSTATE: CAZIP CODE:
90222
CAPACITY: 6CENSUS: 4DATE:
11/09/2023
TYPE OF VISIT:Required - 1 YearANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Roneshia Jones - Licensee/AdministratorTIME COMPLETED:
12:15 PM
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On 11/9/2023 at around 8:00 AM, Licensing Program Analyst (LPA) Socorro Leandro conducted an announced Required – 1 Year Inspection to the above-named facility and met with the Licensee/Administrator Roneshia Jones. LPA explained the purpose of the visit and was accompanied by the Administrator inside and outside the facility during this inspection.

This facility is licensed to serve 6 adults ages 18 – 59 years, of which 2 can be non-ambulatory clients.

A total of 3 ambulatory clients and 1 non-ambulatory client are currently residing in this facility.

The home consists of 3 client bedrooms, 1 bathroom, 1 living/dining room, 1 kitchen, 1 laundry room, 1 garage, and 1 backyard patio area.

The Annual Licensing Fees are current.

Inside and outside grounds were toured, and no bodies of water were observed. Walkways around the home were clear of hazards. There are security bars on the windows and no weapons on the premises.

LPA toured the kitchen area and observed supplies of nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days. Knives and toxins were kept in locked storage cabinet.

LPA observed that medications were safe, locked, and inaccessible. All medications observed were labeled and maintained in compliance with label instructions and State and Federal law. Documents are posted as mandated. Last Disaster drill was conducted on 9/15/2023. First aid kit is fully stocked with manual. Smoke and carbon monoxide detectors were in compliance and operational. 3 fire extinguishers, which were serviced on 9/15/2023 was observed near the kitchen, garage, and hallway.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE: DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/09/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: INFINITE QUALITY CARE LLC
FACILITY NUMBER: 198602621
VISIT DATE: 11/09/2023
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3 out of 3 client’s bedrooms were checked. Mattresses were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Comforters, bed linen, bath towels and mattress protectors were adequately stocked. Bathroom toilets and water faucets worked properly. Adequate lighting and toiletries accessible to clients. LPA tested hot water temperature and it measured between 105 and 120 degrees Fahrenheit. This facility provides clients with hygiene products such as feminine napkins, nonmedicated soap, toilet paper, toothbrush, toothpaste, and comb.

4 client records were reviewed and, 4 out of 4 client records had Admission Agreements, Medical Assessments, Consent Forms, Weight Record, Emergency Information, Appraisal & Needs Service Plan, Tuberculosis Test, Centrally Stored Medication Destruction Record, Safeguards for Cash Resources, and Personal Rights.

5 staff records were reviewed, 5 out of 5 staff records had current First Aid Certificates, Criminal Record Clearances, Job Applications, Tuberculosis Test, Facility Training's/Drills, and signed Employee Rights.

No deficiencies are being cited based on LPA observation, interviews conducted and record review in accordance with the California Code of Regulations, Title 22.

An exit interview was conducted, and a copy of this report was left with the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023
LIC809 (FAS) - (06/04)
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