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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881242
Report Date: 10/19/2022
Date Signed: 10/19/2022 02:45:00 PM

Document Has Been Signed on 10/19/2022 02:45 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
RIVERSIDE, CA 92507
FACILITY NAME:DESERT SAGEFACILITY NUMBER:
331881242
ADMINISTRATOR:NTEKIM, JONESFACILITY TYPE:
735
ADDRESS:82485 MILES AVETELEPHONE:
(442) 324-2629
CITY:INDIOSTATE: CAZIP CODE:
92201
CAPACITY: 49CENSUS: 43DATE:
10/19/2022
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Josseye Cook, Program DirectorTIME COMPLETED:
02:45 PM
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An Office Conference was conducted today in order to discuss issues of concern with the facility progress and operation. Persons present at today’s meeting were: Licensing Program Manager (LPM) Deborah Mullen, Licensing Program Analyst (LPA) Jesse Gardner, Administrator Jones Ntekim, Program Director Josseye Cook, Chief Operating Officer Jason Poplar, and Chief Executive Officer Melinda Drake representing Licensee MFI Recovery Center.

Below are the topics that were addressed during the Office Conference:
  • Staffing Coverage
  • Background Clearances / On-boarding Process
  • Staff Training
  • Supervision of Residents
  • Incident Reports
  • Administrator Schedule


The facility was additionally directed to submit updated LIC309, and LIC500. Also offered during the meeting was the assistance of the Technical Assistance Program (TSP). Licensee stated they would like to be referred to the program. LPM Deborah Mullen will complete referral for TSP.

An exit interview was conducted and a copy of this report was provided to Program Director Josseye Cook.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2022
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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