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25 | On May 07, 2024, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to conduct the Required Annual Inspection and met with the Administrator, Taye Dodo-Williams. The facility file review was conducted at the Regional Office and additional forms were requested and reviewed on site. The facility is licensed for four Adult Resident (735), and is operating at a capacity of zero Adult Residents.
LPA Mixson toured the facility along with the Administrator and inspected the facility inside and outside, and there were no obstructions to the indoor or outdoor passageways at the time of this visit. The facility is a single-story home located at 13671 Regis Drive Moreno Valley, CA. 92555.
Physical Plant: The facility phone number is (951) 214-2123 and it is operable. The LPA observed the residents’ bedrooms, and each was equipped with required furniture as per Title 22. LPA Mixson inspected facility bathrooms, and the hot water temperature tested within regulations. The bathrooms were clean, and appliances were operating appropriately currently at the time of this visit. The facility is equipped with operating smoke detectors, carbon monoxide alarms, and fire extinguishers. The LPA observed required postings such as "If you See Something, Say Something" the "Personal Rights" and the Ombudsman postings. The cleaning supplies and sharp items were kept locked and inaccessible to the residents in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit.
Medications: There are currently no medications but a place to store and lock for future residents to be locked and inaccessible. The overall facility is clean, the furniture is in good condition. The facility heating system and other appliances were operable currently at the time of this visit, and there were safety lights for night.
Food Service: There is currently no perishable food items currently due to currently no residents. But there are non-perishable food items. Dishes and utensils were in sufficient supply and stored properly, and sharps are locked.
Care & Supervision: There are currently no staff and residents at this time.
Records Review: The LPA reviewed the Administrators' file, and interviewed the administrator. Previous Community Care Licensing forms were reviewed. There were no Title 22, Division 6 Regulation violations observed or cited during today’s visit.
An exit interview was conducted, and a copy of this report was given to the Administrator, Taye Dodo-Williams.
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