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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881407
Report Date: 07/02/2024
Date Signed: 07/02/2024 11:36:25 AM

Document Has Been Signed on 07/02/2024 11:36 AM - 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:NEWPORT INSTITUTE-DEL MONTEFACILITY NUMBER:
331881407
ADMINISTRATOR/
DIRECTOR:
YOUNG, GREGFACILITY TYPE:
772
ADDRESS:41455 VIA DEL MONTETELEPHONE:
(714) 393-3523
CITY:TEMECULASTATE: CAZIP CODE:
92592
CAPACITY: 6CENSUS: 0DATE:
07/02/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:20 AM
MET WITH:Kenyota Dokes TIME VISIT/
INSPECTION COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to the facility to conduct an annual inspection. LPA was granted entry and met with Program Director Kenyota Dokes who was informed of the purpose of the visit. During the visit, the facility had zero (0) clients. Facility has not hot yet admitted clients since licensure date 07/13/2023. LPA observed the following:

Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Detergents, cleaning solutions, and sharp and dangerous objects were observed to be locked and inaccessible. The smoke detector and carbon monoxide was operational, and the hot water temperature met department requirements. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA observed clients bedrooms with the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, lighting, and emergency lighting. Client bathrooms had clean appliances that were operating in safe and sanitary condition and the showers contained non-slip mats. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition.

Client and staff files will be available for review electronically. Client medication with be centrally stored and locked in the medication room. The facility does not have any bodies of water on the property. There is a covered area with seating for the all the clients. All passageways were free from obstruction. LPA observed multiple charged fire extinguishers in the facility. The facility does not have any firearms and ammunition on the property. Facility contains emergency supplies and first aid kits with the required items. The facility has working telephone for client use.



The Pre-licensing inspection is complete, and this facility has no deficiencies. No deficiencies were issued during the visit in accordance with Title 22, California Code of Regulations. An exit interview was conducted, and this report was discussed and provided to Program Director Dokes.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Sara Martinez
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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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