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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880803
Report Date: 12/14/2022
Date Signed: 12/14/2022 12:51:39 PM


Document Has Been Signed on 12/14/2022 12:51 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
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507



FACILITY NAME:ENJOYCARE-POPLARFACILITY NUMBER:
331880803
ADMINISTRATOR:SUSAN FRIESFACILITY TYPE:
740
ADDRESS:11574 POPLAR STREETTELEPHONE:
(909) 796-1375
CITY:LOMA LINDASTATE: CAZIP CODE:
92354
CAPACITY:6CENSUS: 6DATE:
12/14/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Olivia Aguilar, CaregiverTIME COMPLETED:
12:55 PM
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Licensing Program Analyst, Amber Coleman (LPA) arrived at the Enjoyable Care Facility to conduct an Annual Inspection with a focus of Infection Control. LPA introduced self and stated the purpose of the visit. Staff Member, Olivia Aguilar (S1) greeted LPA and invited LPA inside facility. LPA was asked to sign in and have temperature taken. S1 reports there were no current residents diagnosed with COVID at the time of visit and has a census of 6. The facility was observed to be comfortable in temperature and free of any obstructions.

LPA walked throughout facility interior and exterior. Staff and visitors observed wearing PPE. LPA observed a COVID station upon walking inside and signing in. The station offers visitors and staff hand sanitizer, disinfectant, PPE and posted information for Infection Control. LPA inquired about resident charts, S1 phoned the Administrator, who later arrived to the facility to provide LPA access to resident charts.

The facility staff has a plan in place to manage Covid-19 symptoms, which includes staff monitoring residents regularly for any changes in condition, includes daily temperature checks. The facility will contact the resident's physician in the event of any COVID-19 related illnesses. The facility staff are responsible for cleaning and disinfecting the highly touched surfaces during their shift.

LPA observed no health and safety concerns while walking through facility. The client rooms had the required furniture and sufficient lighting. The facility had a supply of additional linen and extra hygiene items and paper supplies for the residents. Fire and carbon monoxide alarms were tested and found operational. Fire extinguisher last inspected 7/27/22. Medications, chemicals and sharp objects were observed being kept in secure locations. Fire and carbon monoxide alarms tested and operational. Adequate amount of Emergency Rations were observed in the garage.

Inspection Tool was utilized, Mitigation plan was reviewed. Facility was further inspected, and no deficiencies were noted. Copy of this report was provided to the Administrator.

SUPERVISOR'S NAME: Nedra BrownTELEPHONE: (951) 202-5776
LICENSING EVALUATOR NAME: Amber ColemanTELEPHONE: 951-248-0338
LICENSING EVALUATOR SIGNATURE:
DATE: 12/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/14/2022
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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