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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 300603549
Report Date: 11/08/2021
Date Signed: 11/08/2021 05:20:47 PM

Document Has Been Signed on 11/08/2021 05:20 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, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME:NEW ALTERNATIVES, INC #5FACILITY NUMBER:
300603549
ADMINISTRATOR:MEAGHAN CRITCHLOWFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 20CENSUS: 9DATE:
11/08/2021
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Meaghan CritchlowTIME COMPLETED:
06:00 PM
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On November 8, 2021 at 9:30 AM, Licensing Program Analysts (LPAs), Jesus Cervantes, Sarah Alvizo, and Adrian Mendez, arrived at New Alternatives #5 to conduct an unannounced annual inspection. LPAs met with Administrator, Meaghan Critchlow, who led a tour of the facility. LPAs toured the facility inside and out at 9:45 AM. The facility is a one-story residence with ten bedrooms and eight bathrooms for the clients. There are currently nine clients in placement.

The facility consists of a front house and back house. The front house is designated for the clinic, therapy room, visitation room, and staff offices. The back house consists of a common area, kitchen, pantry, laundry room, ten client bedrooms, eight client bathrooms, medication room, and one staff office. The client bedrooms are set up so there are two clients to a bedroom and one client per bed. Cleaning solutions and hazardous items were not observed to be stored in a locked room inside of the kitchen. At 10:36 AM LPA observed two 90 oz bottles of dish soap under the kitchen sink which was not locked and secured. This poses an immediate health, safety, or personal rights risk to the residents in care, the facility will be cited. The facility immediately secured the dish soap and secured them in a locked cabinet. At 10:44 AM, LPA observed expired food and spoiled vegetables in the facility client refrigerator. This poses an immediate health, safety or personal rights risk to persons in care. Facility immediately disposed of the spoiled and expired food.

The client’s bathrooms were observed to be clean. At 11:25 AM, the hot water in the client's bathroom was measured to be 108.1 degrees Fahrenheit which is within the appropriate range of 105 degrees to 120 degrees Fahrenheit. Sharp knives were stored in a locked kitchen drawer. Medications are stored inside of a locked cabinet in the medication room.

The facility's smoke and carbon monoxide detectors were observed to be operable. The fire extinguishers are properly charged and serviced. There are no guns or weapons in the facility as stated by the administrator. The Personal Rights form and Foster Care Ombudsman poster were posted in the facility. SEE PAGE TWO
SUPERVISORS NAME: Ann Valenzuela
LICENSING EVALUATOR NAME: Jesus Cervantes
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: NEW ALTERNATIVES, INC #5
FACILITY NUMBER: 300603549
VISIT DATE: 11/08/2021
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LPAs observed a minimum 7-day non-perishable and a 2-day perishable supply of food. The exterior of facility was also inspected and observed to be clean and the landscape well maintained. Emergency exits were free from obstruction. There is no swimming pool or other body of water located on the facility premises.

Administrator, Meaghan Critchlow is present at the facility a minimum of 20 hours a week. Licensee has obtained Mental Health Certification and is valid through March 13, 2022. Licensee has obtained accreditation through CARF International and is valid through September 30, 2023.



Personnel files are maintained on site. At 9:45 AM, LPA’s reviewed ten of ten staff files. All files contained all required documentation per Title 22 Regulations and Interim Licensing Standards (ILS). All appropriate personnel who require caregiver background checks did have criminal record and child abuse index check clearances.

At 1:45 PM, LPAs reviewed nine client files for nine of nine clients and all files did have the necessary documents required per STRTP regulations.

Based on this inspection, the facility is not in compliance. The facility is being cited for Title 22, Division Six, Regulation 80087(g), Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients. This poses an immediate health, safety, or personal rights risk to the residents in care. The facility is being cited for Title 22, Division Six, Regulation 80076(a)(7), (a) In facilities providing meals to clients, the following shall apply: (7) …All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. Food in damaged containers shall not be accepted, used or retained.

Due to time constraints, LPA will return to the facility to conduct a continuation of staff and client interviews.



Exit interview was conducted and a copy of this report, along with Appeal Rights was provided to Administrator, Meaghan Critchlow.

SUPERVISORS NAME: Ann Valenzuela
LICENSING EVALUATOR NAME: Jesus Cervantes
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2021
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Document Has Been Signed on 11/08/2021 05:20 PM - It Cannot Be Edited


Created By: Jesus Cervantes On 11/08/2021 at 04:37 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: NEW ALTERNATIVES, INC #5
FACILITY NUMBER: 300603549

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/08/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
80087(g)
Buildings and Grounds
(g) Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above when LPA observed two bottles of dish soap in an unlocked kitchen cabinet under the sink which was accessible to clients. This poses an immediate health, safety or personal rights risk to persons in care
POC Due Date: 11/09/2021
Plan of Correction
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The facility immediately secured the dish soap and secured them in a locked cabinet.
Type A
Section Cited
CCR
80076(a)(7)
Food Service
(a) In facilities providing meals to clients, the following shall apply: (7) Commercial foods shall be approved by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. Food in damaged containers shall not be accepted, used or retained.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observations, the licensee had expired food and spoiled vegetables in the facility client refrigerator. This poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/09/2021
Plan of Correction
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Facility immediatly inspected all food and disposed of expired and spoiled food.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ann Valenzuela
LICENSING EVALUATOR NAME:Jesus Cervantes
LICENSING EVALUATOR SIGNATURE:
DATE: 11/08/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/08/2021


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