331880774-2-12-2025-18-AS-APEZ-DDTU7R-20250212142023

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 331880774
Report Date: 02/12/2025
Date Signed: 02/12/2025 02:20:31 PM

Document Has Been Signed on 02/12/2025 02:20 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME:	DISCOVERY COMMONS RAINCROSS		FACILITY NUMBER:	331880774
ADMINISTRATOR/ DIRECTOR:	JUDITH PIERFAX		FACILITY TYPE:	740
ADDRESS:	5232 CENTRAL AVENUE		TELEPHONE:	(951) 785-1200
CITY:	RIVERSIDE	STATE: CA	ZIP CODE:	92504
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 0	CENSUS: 70	DATE:	02/12/2025
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Executive Director Mary McClure		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

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Licensing Program Analyst (LPA), Armando Perez made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by staff to conduct the inspection and met with Executive Director, Mary McClure. The LPA informed Mary of the purpose for the visit. The inspection included the following:

The facility is a one building structure with two stories and services both memory care and assisted living residents. LPA observed the facility to be clean and in good repair. LPA toured the facility inside and outside. LPA inspected 10 resident rooms for the required furnishing. There are grab bars for each toilet, bathtub and shower used by residents. Resident showers have non-skid material present. The facility is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Laundry facilities and a locked cabinet is present for storing laundry soap and other chemicals on the second floor. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility and no bodies of water observed.

LPA began review of client records. nine (9) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete.

LPA began review of employee records, ten (10) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrator certification; expiration date 10/26/2026. LPA observed personnel records to be available and complete. Administrator notified that a change was submitted, however, records still indicated the previous administrator information. LPA received required documents and will update facility file records with CCLD to reflect the new Administrators information..

Jazmond D Harris	TELEPHONE: (951) 529-2439
Armando Perez	TELEPHONE: (951) 248-2222
	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

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

FACILITY NAME: DISCOVERY COMMONS RAINCROSS	FACILITY NUMBER: 331880774
	VISIT DATE: 02/12/2025

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LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. Emergency food and water supply is present. There is a location for knives and sharps in the kitchen.

Medications are centrally stored. There is two locked rooms allocated for medication storage. Centrally stored medication and destruction logs are maintained. Medications reviewed appear to have been dispensed accurately.

LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA received documentation of the previous inspection that determined the smoke detectors and carbon monoxide detectors were tested and found to be operational. Fire extinguishers were last serviced on, 10/04/2024. Fire drills are conducted quarterly at the facility with the last drill on 02/06/2025. Administrator could not find the record initially and attempted to search for the record in the Building Service Director's office and was not able to locate. Administrator then checked a binder in her office and was able to locate the record for fire drills. A technical advisory will be recorded and Administrator will have the record available in a timely manner.

Based on the information received during this visit today in the areas reviewed, there are no deficiencies that are being cited per Title 22, Division 6 of The California Code of Regulations.

This LIC 809 report was reviewed with the facility representative and a copy was provided.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR NAME: Armando Perez	TELEPHONE: (951) 248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

LIC809 (FAS) - (06/04)

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