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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880942
Report Date: 07/27/2020
Date Signed: 08/26/2020 10:45:25 AM

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:PARADISE ON PICOFACILITY NUMBER:
331880942
ADMINISTRATOR:SCOGGINS, STEPHAN MCCLAINFACILITY TYPE:
740
ADDRESS:303 WEST PICO ROADTELEPHONE:
(760) 699-8433
CITY:PALM SPRINGSSTATE: CAZIP CODE:
92262
CAPACITY:6CENSUS: 0DATE:
07/27/2020
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Stephan McClain ScogginsTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Kathleen Wiggins conducted an announced pre-licensing video conference inspection to the facility due to COVID-19. LPA met with Stephan McClain Scoggins. Currently there are 0 residents in care.

The home is a four (4) bedroom, three and a-half (3 1/2) baths home with a living room, dining room and kitchen. Per the approved fire clearance, the licensee is approved for six (6) ambulatory residents. All bedrooms are furnished with bed, nightstand, dresser and chair. Bedrooms have adequate lighting for residents’ use. The facility currently has linens, towels and a sufficient amount of hygiene products for residents. The water temperature was tested and measured at 110 degrees Fahrenheit. The smoke and carbon monoxide alarms were tested and are in operating order. LPA observed fire doors to be properly functioning. Fire extinguishers are present in the facility and fully charged. The kitchen was observed to have dishes, silverware, pots, and pans. Knives are locked in kitchen drawer. Staff and resident files will be locked in a file cabinet in the office. The medications will be locked in medicine cabinet located in the office area. A complete first aid kit was observed and to be complete. The chemicals will be locked and kept in the cabinet in the hallway. The backyard was observed to be fully fenced with an unlocked gate and had covered patio, table and chairs for client’s comfort while sitting outside. The property has an in-ground pool which has fencing and locked gates


An exit interview was conducted, and a copy of this report was reviewed and provided to Mr. Scoggins via email to obtain signature.

Receipt of report was confirmed.
SUPERVISOR'S NAME: Leslie MendivelesTELEPHONE: (951) 248-2222
LICENSING EVALUATOR NAME: Kathleen WigginsTELEPHONE: (951) 205-7142
LICENSING EVALUATOR SIGNATURE:

DATE: 07/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2020
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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