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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 365530156
Report Date: 03/05/2025
Date Signed: 03/05/2025 01:53:25 PM

Document Has Been Signed on 03/05/2025 01:53 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:BENCHMARK TRANSITIONSFACILITY NUMBER:
365530156
ADMINISTRATOR/
DIRECTOR:		GALVAN, WENDYFACILITY TYPE:
772
ADDRESS:1330 MAGNOLIA AVETELEPHONE:
(818) 209-5011
CITY:REDLANDSSTATE: CAZIP CODE:
92373
CAPACITY: 6CENSUS: 2DATE:
03/05/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Executive Director Barbara KimberlingTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA) Sarina Ramirez made an unannounced required annual visit to the facility. LPA met with Executive Director Barbara Kimberling and discussed the purpose of the visit. The facility is a Social Rehabilitation Facility (SRF). Licensed capacity of (6) and current census of (2) 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 an enclosed gated and locked swimming pool 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, lighting, and storage space. LPA inspected client bathrooms; hot water temperatures tested between 107.2 and 108.4 degrees F. LPA observed in a common area: Community Care Licensing complaint poster, weekly menu, license, facility sketch, activities schedule, emergency telephone numbers and personal rights posters. LPA observed sharps were kept locked and inaccessible to clients in care. Multi-purpose cleaner and dish washer pods were left unlocked; staff immediately removed chemicals, technical assistance issued.

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.

Record Review: LPA reviewed (2) client files for admission agreements, medical assessments, and treatment plan. LPA reviewed (4) staff files for criminal record clearance, trainings, CPR certificates, and health screenings. LPA observed medications were kept in a locked room 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 Executive Director. A copy of this report along with LIC9102 was provided to Executive Director Barbara Kimberling at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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