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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880752
Report Date: 08/31/2021
Date Signed: 08/31/2021 01:13:50 PM

Document Has Been Signed on 08/31/2021 01:13 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:BETTER DAYS NAVIGATORFACILITY NUMBER:
331880752
ADMINISTRATOR:YOUNG, JOHNFACILITY TYPE:
735
ADDRESS:29015 NAVIGATOR WAYTELEPHONE:
(951) 672-2954
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY: 4CENSUS: 2DATE:
08/31/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:42 PM
MET WITH:Kirsten Palacios, Direct Support ProfessionalTIME COMPLETED:
01:15 PM
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Licensing Program Analyst Jesse Gardner (LPA) made an unannounced visit to conduct a required annual inspection with the emphasis of infection control. LPA Gardner met with Direct Support Professional Kirsten Palacios. Ms. Palacios and LPA Gardner conducted a tour of the facility. The facility is licensed for 4 ambulatory residents. The facility is a two story home, 4 bedrooms and 2 and a half bathrooms, a dining room, living room, a sitting area, and an office.

LPA Gardner conducted an inspection of the home and found that each resident bedroom was furnished with a bed, dresser and overhead lighting. The facility had amble towels and linens for resident cleanliness. The kitchen had cups, plates, bowls, utensils, pots and pans. Sharp knives, medications, and cleaners are kept in the laundry room which is locked with a key. LPA Gardner observed 7 days non-perishable and 2 days perishable food supply for residents.

LPA Gardner observed the backyard to be fully fenced with a shade area for residents. The gate was observed to be unlocked per regulations.

During the visit, Licensee John Young arrived to the facility. During the inspection, LPA Gardner discussed infection control practices and procedures with Mr. Young.

An exit interview was conducted and a copy of this report was provided to Mr. Young
SUPERVISORS NAME: Reyna Lacey
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 08/31/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/31/2021
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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