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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603296
Report Date: 06/13/2024
Date Signed: 06/13/2024 01:07:33 PM

Document Has Been Signed on 06/13/2024 01:07 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, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME:HOUSE OF HOPE ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
198603296
ADMINISTRATOR/
DIRECTOR:
MARTIN, CHERRYFACILITY TYPE:
735
ADDRESS:1000 NORTH ROSE AVENUETELEPHONE:
(714) 553-2048
CITY:COMPTONSTATE: CAZIP CODE:
90221
CAPACITY: 4CENSUS: 3DATE:
06/13/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:44 AM
MET WITH:Administrator Morigan S. CoffeeTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 06/13/24, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Administrator Morigan S. Coffee as the purpose of the visit was explained. The facility is licensed to serve (4) ambulatory clients ages 18 - 59 years of age, current census is (3). Clients are linked to the South Central Los Angeles Regional Center. Facility fees are current.

The facility is a single-story structure located in a residential neighborhood and consists of the following: (3) bedrooms, (2) bathrooms of which (1) is private, living room, kitchen, dining area, garage, and back yard. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

LPA conducted a records review of (2) staff records, (3) client records, and (2) medication administration records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 04/30/24, (1) fire extinguisher fully charged, carbon monoxide and smoke detectors were observed and are operational. A Land line and internet service was observed.

Exit interview conducted with Administrator Morigan S. Coffee, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE: DATE: 06/13/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/13/2024
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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