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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198602991
Report Date: 02/04/2025
Date Signed: 02/04/2025 02:22:12 PM

Document Has Been Signed on 02/04/2025 02:22 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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:RAINEBEE HOMEFACILITY NUMBER:
198602991
ADMINISTRATOR/
DIRECTOR:		BROMSTEAD, JOHNFACILITY TYPE:
735
ADDRESS:20514 E COVINA HILLS RDTELEPHONE:
(626) 699-2080
CITY:COVINASTATE: CAZIP CODE:
91724
CAPACITY: 6CENSUS: 5DATE:
02/04/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Lorraine Bromstead, AdministratorTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analyst (LPA) Vaid, conducted an unannounced annual inspection. The facility is licensed to serve six (6) ambulatory clients from age 18-59. Client census is five (5). The facility is vendorized through San Gabriel/Pomona Regional Center. LPA met with Lorraine Bromstead, and John Bronstead, both Licensees, who assisted with visit. LPA discussed with licensee of the purpose of today's visit and the inspection.
During the visit, a tour of the facility was conducted; food supply and medications were reviewed.
LPA toured exterior and interior of the facility it is a single-story home located in a residential neighborhood consisting of four (4) bedrooms, three and a half (3 & 1/2) bathrooms, kitchen, living room, laundry room and dining room. LPA observed medications which were locked and centrally stored in a closet. Staff and client records are locked in a closet and inaccessible to clients. The kitchen had all necessary equipment and supplies. Hazardous items were locked and inaccessible to clients. A shaded area with chairs was provided in the outdoor activities area. The backyard has secured pool with a locked gate was inaccessible to the clients.
Facility maintains the required two (2) days perishable and seven (7) days non- perishable. Clients’ bedrooms have beds, chairs, table lamps for each room were available to ensure the safety and comfort of all persons in the facility, a dresser, and closet space available. Bathrooms are operational. Adequate linen and personal hygiene supply are observed. Carbon monoxide detectors and smoke detectors are operable. Hot water temperature is measured at 113.6 degrees Fahrenheit which is within regulation range. Hazardous items are locked and inaccessible to clients. Fire extinguisher was fully charged and last service was on 09/30/24 Last disaster drill was conducted on 01/2025. Pesticides/poisons are not stored in food areas, kitchen, or where kitchen equipment/utensils were stored.
Medications were properly logged and current. Administrator certificate is current with expiration date on 03/21/26
No deficiencies were observed during visit. An exit interview was conducted. This report is discussed and provided to Licensee.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Sanjay Vaid
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2025
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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