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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881286
Report Date: 03/06/2024
Date Signed: 03/06/2024 02:30:57 PM

Document Has Been Signed on 03/06/2024 02:30 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:BETTER DAYS ARFFACILITY NUMBER:
331881286
ADMINISTRATOR:YOUNG, JOHNFACILITY TYPE:
735
ADDRESS:33059 PUFFIN STTELEPHONE:
(951) 506-3011
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 4CENSUS: 4DATE:
03/06/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Administrator, John YoungTIME COMPLETED:
02:45 PM
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On 3/6/2024, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA was greeted and granted entry by Caregiver, Darell Everette. Administrator, John Young stopped by during the visit. LPA met with House Manager (HM), Kimberly Mc Intosh.

LPA toured the facility's interior and exterior with Caregiver Everette. During today's visit, there was one (1) client and one (1) staff present. The facility has a fire clearance for four (4) ambulatory clients ages 18 through 59. The facility is made up of a two-story home with four (4) client bedrooms and three (3) client bathrooms along with a kitchen, office, dining room, living room and attached garage. During the tour, LPA observed charged fire extinguishers mounted throughout the facility, which were serviced on 2/12/2024. HM Mc Intosh tested the smoke alarm/carbon monoxide detectors and LPA found them to be operational. The facility has emergency food and water stored in the garage. The facility's last fire drill was conducted on 3/2/2024 and earthquake drill on 2/1/2024. LPA reviewed random staff and client files. Staff files had the required training records and updated first aid certification. Client files had updated Individual Program Plans and signed admission agreements. The facility had a 2-day supply of perishable foods and 7-day supply of non-perishable food items. Client bedrooms had the required bedding, furniture and functional lighting. Medication was secured in a locked medication cabinet in the kitchen. LPA reviewed the clients' physical medication along with their Medication Administration Record and did not discover any discrepancies. The facility safeguards the clients' cash resources. LPA reviewed the clients' Record of Client's/Resident's Safeguarded Cash Resources (LIC405) along with their physical monies and did not observe any discrepancies. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to HM Mc Intosh.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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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