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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 336403516
Report Date: 03/24/2022
Date Signed: 03/24/2022 04:16:08 PM


Document Has Been Signed on 03/24/2022 04:16 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:SUN CITY GARDENSFACILITY NUMBER:
336403516
ADMINISTRATOR:BITUIN D GARCIAFACILITY TYPE:
740
ADDRESS:28500 BRADLEY ROADTELEPHONE:
(951) 679-2391
CITY:SUN CITYSTATE: CAZIP CODE:
92586
CAPACITY:74CENSUS: 41DATE:
03/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Bituin Garcia, Administrator TIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Javina George conducted an unannounced visit focused on infection control. LPA met with Administrator Bituin Garcia whom was informed of the purpose of the visit. At the time of the visit there were no positive covid cases or anyone in isolation due to a suspicion of a covid-19 related illness.

LPA conducted a tour of the interior and exterior of the facility. LPA observed for the facility to be following their mitigation plan that was submitted on 07/29/2021.
All staff were wearing appropriate face coverings (surgical masks, KN95 masks). The facility has an adequate supply of hand hygiene supplies that are readily available in designated areas throughout the facility. The facility cleans and disinfects the highly touched surfaces throughout each shift, and are using EPA approved cleaners. The facility has a minimum of a two month supply of Personal Protective Equipment and paper goods.

The facility has one central entry point; routine symptom screening initiated at entry for staff, residents and visitors; a sign-in policy enacted for all visitors; that is completed with the receptionist. The facility has completed FIT (N95 masks variations) testing for all staff.


Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and a copy of this report was provided to Administrator Bituin Garcia.
SUPERVISOR'S NAME: Joel EsquivelTELEPHONE: (951) 248-0312
LICENSING EVALUATOR NAME: Javina GeorgeTELEPHONE: (951) 204-7107
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
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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