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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603763
Report Date: 08/08/2024
Date Signed: 08/08/2024 01:38:34 PM

Document Has Been Signed on 08/08/2024 01:38 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:SUNSHINE RESIDENTIAL HOME 4FACILITY NUMBER:
198603763
ADMINISTRATOR/
DIRECTOR:		JOSE, OYINLOYE AUSTINEFACILITY TYPE:
735
ADDRESS:1053 S PROSPERO DRIVETELEPHONE:
(818) 274-1809
CITY:GLENDORASTATE: CAZIP CODE:
91740
CAPACITY: 4CENSUS: 0DATE:
08/08/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Jose Oyinloye; LicenseeTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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Licensing Program Analysts (LPA) Tyler Reyes conducted a Subsequent Pre Licensing Visit to this facility. The initial visit was conducted on 7/30/24. LPA Reyes met with Licensee Jose Oyinloye and explained the purpose for the visit.

The physical plant consists of a single story structure which includes a kitchen, living room, dining room area, four (4) client bedrooms, two (2) bathrooms, and a front/backyard.

There were corrections requested for the following:
  • Licensee to ensure water temperature is maintained in both restrooms between 105-120 degrees Fahrenheit. On 7/30/24, Restroom #1 measured at 105.8 degrees F and Restroom #2 measured on first attempt 81.8 and on second attempt 80.4 degrees F. Restroom #2 did not measure within the required range of 105-120 degrees.

On 8/8/24 water temperature in Restroom #1 measured at 113.7 F degrees and Restroom #2 measured at 107.7 degrees F. Water temperature is currently maintained between the required 105-120 degrees Fahrenheit

At this time no further corrections are required.

Facility met the physical plant requirements as required per California Code of Regulations
Title 22 Division 6.

Exit interview conducted and a copy of this report was provided to Licensee Jose Oyinloye.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Tyler Reyes
LICENSING EVALUATOR SIGNATURE: DATE: 08/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/08/2024
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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