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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881423
Report Date: 07/18/2024
Date Signed: 07/18/2024 04:34:29 PM

Document Has Been Signed on 07/18/2024 04:34 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:ALWAYS HEARTFELT HOMESFACILITY NUMBER:
331881423
ADMINISTRATOR/
DIRECTOR:
WILSON, UNIKKAFACILITY TYPE:
740
ADDRESS:42165 PATTON PLACETELEPHONE:
(310) 597-2688
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY: 6CENSUS: 6DATE:
07/18/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:22 PM
MET WITH:Licensee, Unikka WilsonTIME VISIT/
INSPECTION COMPLETED:
04:35 PM
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Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA was granted entry and met Licensee, Unikka Wilson, who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (6) clients present. The facility is a one story home with (5) bedrooms and (3) bathrooms, (1) bedroom and bathroom are for staff. No pools or firearms are being kept at the facility.

Infection Control: The LPA observed hand washing stations, hygiene supplies, PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements.



Physical Plant: 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. The sharp objects were observed to be locked and inaccessible to residents in the kitchen. The carbon monoxide was operational, and the hot water temperature 118F. LPA observed the facility storage area where cleaners are being kept. The room has a sliding door with broken door stop, the licensee moved the cleaners during the visit.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE: DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/18/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ALWAYS HEARTFELT HOMES
FACILITY NUMBER: 331881423
VISIT DATE: 07/18/2024
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Care & Supervision/Administration: Adequate staff are present for the supervision of clients during the visit. LPA also reviewed the staff scheduled. The listed administrator, possesses a current administrator's certificate.

Record Review and Resident/Staff Files: LPA reviewed staff files and training. (1) staff did not have their health screening during the time of the visit. The licensee agreed to send it to the LPA by Friday 7/19/2024. Resident files were reviewed, and possessed all required paperwork.

Health Related Services/ Incidental Medical Services: All client medication was locked in locked cabinet. The licensee was using pill boxes and agreed to change the medication procedure and check MARS logs for accurate documentation of medications.

Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility's last fire drill 4/1/2024, which met the department requirements. LPA observed all facility exits were clear from obstructions.

No deficiencies were cited at the time of the visit. An exit interview was conducted with Licensee, Unikka Wilson
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC809 (FAS) - (06/04)
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