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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603389
Report Date: 02/04/2022
Date Signed: 02/04/2022 01:55:57 PM

Document Has Been Signed on 02/04/2022 01:55 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
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:RHEMA CARE GROUP LLC IVFACILITY NUMBER:
198603389
ADMINISTRATOR:NWAKA, KALUFACILITY TYPE:
735
ADDRESS:1533 GREENPORT AVETELEPHONE:
(626) 364-7133
CITY:ROWLAND HEIGHTSSTATE: CAZIP CODE:
91748
CAPACITY: 4CENSUS: 3DATE:
02/04/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Brandon Diaz (Direct Support Professional)TIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Kruz Long conducted a site visit for the annual inspection. Upon arriving at the facility, LPA met with Brandon Diaz (Direct Support Professional) and explained the purpose of the visit. The facility is licensed to serve age range 18 through 59. 4 ambulatory only.

The facility is located in a residential area. A tour of the single-story facility includes: Living room, attached garage/laundry area, kitchen, dining room, 4 client bedrooms, 1 staff bedroom and 3 bathrooms.

During today’s visit, LPA observed the following: Licensee is not operating beyond the conditions and limitations specified on the license. Clients are protected against hazards. Outdoor and indoor passageways are free of obstruction. There are no pools or large bodies of water on the premises. There are no firearms on the premises and other dangerous weapons such as knives are locked in the dining room cabinet. Disinfectants, cleaning solutions, poisons are inaccessible to clients. A comfortable temperature for clients is maintained. Lamps or lights in all rooms to ensure the comfort and safety were observed. Hot water temperature measured at 114.4 degrees F in bathroom #1. All toilets, hand washing and bathing facilities is safe, sanitary and in operating condition. Hygiene products are readily available. All foods are selected, stored, prepared and served in a safe and healthful manner. Nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days were observed. Refrigerators are clean, and maintain temperatures. Smoke/Carbon monoxide detectors are operable. A first aid kit consist the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and current first aid manual stored in the hallway cabinet. Sufficient staff as necessary to ensure provision of care and supervision to meet client needs were observed. Staff have a criminal record clearance. Staff responsible for direct care and supervision have current first aid. The administrator is on the premises a sufficient number of hours necessary to adequately administer the facility. All medications are labeled and maintained in compliance with label instructions with State and Federal law. Medications are centrally stored and locked in the dining room cabinet.

No deficiencies were observed during today's visit.
An exit interview was conducted and a copy of this report was provided to Brandon Diaz.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 02/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2022
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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