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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 361800450
Report Date: 10/21/2024
Date Signed: 10/21/2024 01:05:21 PM

Document Has Been Signed on 10/21/2024 01:05 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
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:VALLEY STAR CRT-MORONGO OASIS CENTERFACILITY NUMBER:
361800450
ADMINISTRATOR/
DIRECTOR:		HEBESISH, SUZAN ABOUFACILITY TYPE:
772
ADDRESS:60805 29 PALMS HIGHWAYTELEPHONE:
(760) 974-5990
CITY:JOSHUA TREESTATE: CAZIP CODE:
92252
CAPACITY: 16CENSUS: 13DATE:
10/21/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Administrator Suzan Abou- HebeishTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced required annual visit to the facility. LPA met with Administrator Suzan Abou-Hebeish and discussed the purpose of the visit. The facility is a Social Rehabilitation Facility (SRF). Licensed capacity of (16) and current census of (13) clients. LPA conducted a general overall inspection, which included, but was not limited to, the following:

Physical Plant: LPA observed indoor and outdoor passageways are kept free of obstructions. The facility has sufficient indoor and shaded outdoor space for client activities. The facility has no bodies of water. The facility has a sufficient supply of bed linen, towels, and personal hygiene products for clients in care. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; bedrooms were equipped with beds, nightstands, chairs, and storage space. LPA inspected client bathrooms; Bathroom showers are equipment with grab rails. LPA observed in a common area: Community Care Licensing complaint poster, disaster evacuation plan, and personal rights posters. LPA observed cleaning supplies, toxins, and sharps were kept locked and inaccessible to clients in care.

Food Service: LPA observed a sufficient supply of non-perishable and perishable food for clients in care. Food was stored in a safe and healthful manner. Kitchen hot water temperature tested at 109 degrees F.

Record Review: A facility disaster drill was conducted on 10/17/24. LPA reviewed (6) client files for admission agreements, medical assessments, and needs and services plans. LPA also reviewed (6) staff files for criminal record clearance, training, and health screenings. LPA observed medications were kept in a locked cabinet inaccessible to clients in care. Medications audited at random were labeled and maintained as prescribed.

No deficiencies were cited during today’s visit. An exit interview was conducted with the Administrator and Program Manager. A copy of this report with appeal rights was provided to the Administrator at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 10/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/21/2024
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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