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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881200
Report Date: 11/19/2024
Date Signed: 11/19/2024 12:23:56 PM

Document Has Been Signed on 11/19/2024 12:23 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
, CA 92507
FACILITY NAME:RADIANT CARE FAMILY HOMEFACILITY NUMBER:
331881200
ADMINISTRATOR/
DIRECTOR:		ALVARADO, MATTHEWFACILITY TYPE:
735
ADDRESS:36674 TORREY PINES DRTELEPHONE:
(951) 267-1327
CITY:BEAUMONTSTATE: CAZIP CODE:
92223
CAPACITY: 4CENSUS: 4DATE:
11/19/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Tina Pham-Support Staff TIME VISIT/
INSPECTION COMPLETED:
12:35 PM
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Licensing Program Analyst (LPA) Bernadette Allen made an unannounced visit to the facility to conduct an annual inspection. LPA met with Tina Pham who granted LPA entry into the facility and assisted with a tour.

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 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 73 degrees F.

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

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE: DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: 11/19/2024
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 LPA reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed two (2) client medications which appeared to be administered as prescribed by their physician. P&I was reviewed and appeared to balance ledger.

LPA also reviewed one (2) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. A technical advisory was issued for not having Staff 1(S1) TB screening. The licensee has agreed to provide screening once completed by 11/22/2024.

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 where this report was discussed and provided to Tina Pham- Support Staff at the conclusion of the visit with appeal rights.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 11/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2024
LIC809 (FAS) - (06/04)
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