336406642-5-1-2023-18-AS-CNWE-CRENJE-20230501103010

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 336406642
Report Date: 04/27/2023
Date Signed: 05/01/2023 10:30:16 AM

Document Has Been Signed on 05/01/2023 10:30 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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME:	VALLEY RESOURCE CENTER		FACILITY NUMBER:	336406642
ADMINISTRATOR:	ANDREA WELLS		FACILITY TYPE:	775
ADDRESS:	1285 N. SANTA FE, SUITE B		TELEPHONE:	(951) 766-8659
CITY:	HEMET	STATE: CA	ZIP CODE:	92543
CAPACITY: 35		CENSUS: 33	DATE:	04/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Jennifer Herrera, Program Manager		TIME COMPLETED:	09:43 AM

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On 4/27/2023, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene met with Program Manager, Jennifer Harrera and Director, Pedro Zambrano who was informed of the purpose of visit. LPA toured the facility inside and out with Jennifer Harrera.

Tour included:

Kitchen; LPA toured the kitchen and observed kitchen to be clean. LPA observed emergency food and water. There were sufficient utensils and dishware for the approved capacity. The refrigerator and stove are in working order. Sharps are stored in a locked kitchen cabinet, available only to authorized individuals. Trash cans has tight-fitting lid. All need appliances were present and shown to be in working condition and clean. The fridge was measured at 35 degrees Fahrenheit and Freezer was measures at 0 degrees Fahrenheit.

Lunch Room; LPA toured the lunch room and observed area to be clean and furnitures in good condition. Temperature was 75 degrees Fahrenheit.

Hallway; LPA toured the hallway and observed hallway to be clean with no pathway obstruction. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. Carbon monoxide & smoke detector are functioning properly.

Bathroom; LPA toured four #4 out of #4 facility bathrooms and observed bathrooms to be clean and equipped. There is also a good number of personal toiletries available for the residents in care. The hot water measured at 118 degrees Fahrenheit

Continue on LIC809-C

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: VALLEY RESOURCE CENTER	FACILITY NUMBER: 336406642
	VISIT DATE: 04/27/2023

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Continued from LIC809.

Offices and Classrooms; LPA toured Offices and Classrooms and observed rooms to be clean and well furnished.

Laundry; LPA toured the laundry room and observed room to be clean. Washing machine and dryer are all in good repair and sufficient for approved census. Cleaning supplies are stored away in the laundry room, inaccessible to clients.

Records: All staff present have a criminal record clearance in file and are confirmed as being associated with the facility. Three #3 staff and #3 clients records were reviewed. All required postings, including COVID’s postings, were posted near the entryway and throughout the facility. LPA also reminded Jennifer Harrera and Pedro Zambrano about the annual fees due. LPA gave Jennifer PIN for online payment.

Interview; LPA interviewed three #3 staff and #3 clients present.

No deficiencies noted at the time of visit. An exit interview was conducted, and a copy of this report was reviewed with and provided to Pedro Zambrano.

SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Chinwe Nwogene
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC809 (FAS) - (06/04)

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