331881200-10-31-2023-56-AS-BALN-CX5P2H-20231031105557

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 331881200
Report Date: 10/31/2023
Date Signed: 10/31/2023 11:03:02 AM

Document Has Been Signed on 10/31/2023 11:03 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:	RADIANT CARE FAMILY HOME		FACILITY NUMBER:	331881200
ADMINISTRATOR:	ALVARADO, MATTHEW		FACILITY TYPE:	735
ADDRESS:	36674 TORREY PINES DR		TELEPHONE:	(951) 267-1327
CITY:	BEAUMONT	STATE: CA	ZIP CODE:	92223
CAPACITY: 4		CENSUS: 3	DATE:	10/31/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Tina Pham-Support Staff		TIME COMPLETED:	11:10 AM

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Licensing Program Analysts (LPA's) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. At the time of the visit there was one (1) staff and the three (3) residents were at day program.

The facility is an Adult Residential Facility (ARF) with five (5) bedrooms, three (3) bathrooms in the home, LPA observed kitchen/dining area, living room and a family/dining area. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

LPA's inspected the facility inside and out. Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient furniture and lighting and is maintained at a comfortable temperature.

LPA inspected the kitchen. Facility has sufficient nonperishable and perishable food for the number of residents in care. Facility has a variety of food available for residents, and menus posted. Facility food is stored in a safe and healthful manner. Sharps are stored and kept locked closet near the kitchen, inaccessible to clients in care.

LPA inspected client bedrooms. The bedrooms are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting.

LPA inspected the bathrooms. Bathrooms were operating in a safe and sanitary conditions. The hot water temperature measured at 107.5 degrees F.

LPA observed the facility is equipped with operating carbon monoxide/smoke detectors and fully charged fire extinguishers.

Posters such as personal rights and the disaster plan were posted in a common area.

LPA did observe cleaning supplies, toxins items are kept in a locked laundry room and is inaccessible to clients in care.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2023

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: RADIANT CARE FAMILY HOME	FACILITY NUMBER: 331881200
	VISIT DATE: 10/31/2023

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The staff and residents files were reviewed and all files had the required documents at the time of the visit.

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 was discussed and provided to Tina Pham at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2023

LIC809 (FAS) - (06/04)

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