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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881339
Report Date: 12/12/2022
Date Signed: 12/12/2022 04:25:35 PM

Document Has Been Signed on 12/12/2022 04:25 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:BETTER DAYS RUIDOSAFACILITY NUMBER:
331881339
ADMINISTRATOR:TYARS, TYHEARAFACILITY TYPE:
735
ADDRESS:31108 RUIDOSATELEPHONE:
(951) 553-3429
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 3CENSUS: 0DATE:
12/12/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Applicant, John YoungTIME COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) Janira Arreola, conducted an announced visit for the purpose of conducting the prelicensing visit. LPA met with applicant John Young. The applicant is seeking an initial application for an adult residential facility with a capacity for (3) clients, ages 18 to 60.

LPA conducted a walk through of the interior and exterior of the facility. The home is a (3) bedroom and (3) bathroom, two story home with an attached garage. The fire clearance conducted by Temecula Fire Department approve the home for (3) ambulatory clients. LPA observed the clients bedrooms which had the appropriate linens, furniture such as bed, dresser, closet space, light, and chair. The home has extra linens and bath towel in a hallway closet, as well as a first aid kit, and emergency lighting. The facility kitchen has enough pots and pans, cooking utensils, plates and cups for (3) clients. The kitchen had the appropriate food items for the capacity of 3 clients. LPA observed the bathrooms in the facility to have hand hygiene supplies, and for future clients. The laundry room was observed be functional, and the facility possesses cleaning supplies to conduct regular cleaning of the facility. The smoke alarms and carbon monoxide detectors were found in operating condition. The dining room has enough seating for (3) clients, and the outdoor space has enough seating for (3) clients with a shaded area. The hot water temperature was recorded in the kitchen sink at 114.9F, and the land line was observed to be operational.

No bodies of water or firearms are being kept in the facility. Kitchen knifes will be kept locked with the medications in a locked locker by the office space with the cleaning supplies.

Component III orientation was conducted during the visit with the applicant. An exit interview was conducted were this report was reviewed and provided to the applicant, John Young.
SUPERVISORS NAME: Joel Esquivel
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE: DATE: 12/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/12/2022
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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