331800220-12-31-2024-56-AS-BALN-DCGPYM-20241231104410

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 331800220
Report Date: 12/31/2024
Date Signed: 12/31/2024 10:44:21 AM

Document Has Been Signed on 12/31/2024 10:44 AM - 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME:	BRIGHT MORNING STAR FAMILY HOME 2		FACILITY NUMBER:	331800220
ADMINISTRATOR/ DIRECTOR:	DENILA, LELANIE, F		FACILITY TYPE:	735
ADDRESS:	1669 ROSE AVE		TELEPHONE:	(951) 769-3963
CITY:	BEAUMONT	STATE: CA	ZIP CODE:	92223
CAPACITY: 6	TOTAL ENROLLED CHILDREN: 0	CENSUS: 4	DATE:	12/31/2024
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:25 AM
MET WITH:	Lelanie Denila-Licensee		TIME VISIT/ INSPECTION COMPLETED:	10:50 AM

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Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Lelanie Denila- Licensee and was granted entry to the facility.

At the time of the visit there was two (2) staff present, three (3) clients were attending Day Program and one (1) client was present.

The facility is an five (5) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is an Adult Residential Facility (ARF) Level 4i home vendorized by Inland Regional Center Licensed capacity is (6) current census (4). The facility is operating in the capacity approved by Community Care Licensing (CCL).

LPA was accompanied by Lelanie Denila, to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected clients bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 113-125 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside medication cabinet inaccessible to clients in care. Overall, the facility appeared to be clean, in good repair, and operating in safe conditions.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care.

Karen Clemons	TELEPHONE: (951) 248-0349
Bernadette Allen	TELEPHONE: 951-897-2618
	DATE: 12/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2024

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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: BRIGHT MORNING STAR FAMILY HOME 2	FACILITY NUMBER: 331800220
	VISIT DATE: 12/31/2024

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Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department.

Record Review: LPA reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans.

LPA also reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. P&I was counted for and matched with the ledger.

Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report LIC809,LIC809-C was discussed and provided toLicensee Lelanie Denila at the conclusion of the visit with appeal rights.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Bernadette Allen	TELEPHONE: 951-897-2618
LICENSING EVALUATOR SIGNATURE:	DATE: 12/31/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/31/2024

LIC809 (FAS) - (06/04)

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