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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603759
Report Date: 01/10/2025
Date Signed: 01/10/2025 02:59:17 PM

Document Has Been Signed on 01/10/2025 02:59 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:FT. KNOXFACILITY NUMBER:
198603759
ADMINISTRATOR/
DIRECTOR:
KNOX, LATONDAFACILITY TYPE:
735
ADDRESS:16332 E. EDNA PLACETELEPHONE:
(626) 394-1461
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY: 4CENSUS: 3DATE:
01/10/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:02 PM
MET WITH:Latonda Knox, Licensee/administrator of Ft. Knox supportive housing from Altadena/ license applicant of Ft. Knox from Covina and
Lanika Harden, administrator of Ft. Knox supportive housing from Altadena and Ft. Knox from Covina
TIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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Licensing Program Analyst (LPA) Tao made an unannounced case management visit regarding a self-reported incident on the relocation of three (3) clients from Ft. Knox supportive housing from Altadena - License # 197610089, located at 288 W Terrace Street, Altadena, CA 91001 to FT. KNOX from Covina, license # 198603759 due to mandatory evacuation orders from Fire Advisory. LPA met with Latonda Knox, Licensee of Ft. Knox supportive housing from Altadena/ license applicant of Ft. Knox from Covina, as well as Lanika Harden, administrator of Ft. Knox supportive housing from Altadena and Ft. Knox from Covina and explained the purpose of the visit.

During the visit, LPA Tao conducted a health and safety check and no concerns observed. LPA Clients/staff rosters and fire inspection (dated 10/18/24) for Covina facility were obtained. Per the interview with the license applicant, three (3) clients have been relocated to Ft. Knox, located in Covina which is the current location. The Ft. Knox supportive housing facility at Altadena was burnt to the ground. The current location has sufficient beds, hygiene supplies, beddings, linens, and everyone has a designated room. Clients’ rooms and bathrooms are in compliance with the required furnishing. The kitchen has sufficient two-day perishable and seven-day non-perishable food supplies. Medications, MARs, and staff/clients files have been transferred to Covina location and stored in the locked cabinets.
(Report continued in LIC 809-C).
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: FT. KNOX
FACILITY NUMBER: 198603759
VISIT DATE: 01/10/2025
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Latonda Knox is the licensee of both facilities. She is a registered nurse. Both facilities use the same vendors, pharmacy, and have the same regional center which provide the same level of care to clients.

There is sufficient staffing available to provide care for clients at Covina location. It has been verified that a Fire inspection and testing was completed on 10/18/24. Latonda, licensee confirmed all clients’ families, responsible parties, and regional centers have been notified about the relocation from her Altadena location to Covina location, either via calls, texts, or emails.

No issues are observed during the visit. An exit interview was conducted and a copy of this report was provided to Latonda.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Bonnie Tao
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
LIC809 (FAS) - (06/04)
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