306004566-3-26-2024-22-AS-JHAY-D3QVFY-20240326162442

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 306004566
Report Date: 03/26/2024
Date Signed: 03/26/2024 04:24:49 PM

Document Has Been Signed on 03/26/2024 04:24 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 HOPE CARE HOMES		FACILITY NUMBER:	306004566
ADMINISTRATOR:	ASUNCION JACINTO		FACILITY TYPE:	735
ADDRESS:	7284 CHEROKEE CIRCLE		TELEPHONE:	(714) 588-3112
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90620
CAPACITY: 6		CENSUS: 2	DATE:	03/26/2024
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Anil Suresh - Administrator		TIME COMPLETED:	04:35 PM

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Licensing Program Analysts (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Staff contacted Administrator Anil Suresh who arrived a short time later and was present for the remainder of the of the visit.

During the inspection, LPA Haley observed a locked closet next to the front door. In the locked closet is where the client and staff files are kept as well as clients P&I funds, and client medications. All client bedrooms had the necessary elements and were in compliance with regulation guidelines. One client bedroom is vacant and being used to store clothing items for one of the clients and old facility records. One room was reserved for staff and inside LPA Haley observed extra cleaning supplies, and an emergency food supply. Client bathrooms were clean and organized. Hot water temperatures were measured in the range of 109.5 degrees Fahrenheit and 108.6 degrees Fahrenheit. No hazardous items were observed in the client bathrooms.

In the kitchen knives and sharp objects are kept locked in a drawer near the dishwasher. Hazardous cleaning materials are kept locked under the sink. A perishable food supply that meets regulation requirements was observed in the refrigerator. A non-perishable food supply that meets regulation requirements was observed in the cabinets. There’s a washer and dryer on the side of the kitchen with a locked cabinet above the washer and dryer.

In the garage an emergency supply of water was observed. There was a large supply of diapers as well as an emergency supply of PPE items that included face shields, gowns, gloves, and N95 mask. The facility vehicle was also parked inside the garage.

Continued on LIC809C

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

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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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 HOPE CARE HOMES	FACILITY NUMBER: 306004566
	VISIT DATE: 03/26/2024

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The backyard was clean, organized, and walkways were free of obstruction. A shaded patio area with a table and chairs was observed. The side exit gate is self-closing and self-latching.

Smoke detectors tested operational, and a carbon monoxide detector was plugged into an outlet in the dining room. A fully charged fire extinguisher was observed mounted on the wall in the kitchen.

An emergency evacuation drill was conducted February 28, 2024.

No deficiencies are being cited as a result of today’s visit.

An exit interview conducted, and a copy of this report was provided to Administrator Anil Suresh.

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024

LIC809 (FAS) - (06/04)

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