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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366424638
Report Date: 09/20/2022
Date Signed: 09/20/2022 02:26:11 PM

Document Has Been Signed on 09/20/2022 02:26 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
, CA 92507
FACILITY NAME:NEW DISCOVERY RESIDENTIAL SERVICES IIFACILITY NUMBER:
366424638
ADMINISTRATOR:DONNA WELDONFACILITY TYPE:
735
ADDRESS:3750 OLEANDER DR.TELEPHONE:
(909) 280-9637
CITY:HIGHLANDSTATE: CAZIP CODE:
92346
CAPACITY: 6CENSUS: 3DATE:
09/20/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:38 PM
MET WITH:Administrator - Vivian FranciscoTIME COMPLETED:
02:27 PM
NARRATIVE
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Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the facility to conduct a required annual inspection with an emphasis on infection control. LPA identified herself to Administrator Vivian Francisco. Administrator verified that the facility currently has no active and/or suspected COVID-19 cases.

During the inspection, LPA Bueno and Administrator toured the facility inside and out. LPA interviewed Administrator Francisco regarding the facility's infection control measures and inspected the facility for regulatory compliance. LPA observed that the facility was also equipped with sufficient hand hygiene supplies, sufficient cleaning/disinfecting provisions, and a supply of Personal Protective Equipment (PPE). The facility has a designated infection control lead person who has been tasked with tracking all COVID-19 cases and/or suspected cases and that staff are trained in the facility's infection control measures.

LPA observed that the facility appeared to be meeting operational requirements. LPA Bueno observed all utilities and appliances were functioning properly and passageways are clear of obstruction, including emergency exits. The facility has a locked and gated body of water. The facility has sufficient food supply and emergency and paper supplies. All areas of the facility, including client bedrooms and bathrooms, appeared clean and in good repair. Fire extinguishers were last checked on 12/3/21 and combination smoke detector and fire alarm were functioning.

LPA Bueno observed no health and safety concerns at the time of visit. Based on observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report was discussed with and a copy of this report was provided to Administrator Francisco at the conclusion of the inspection
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Anna Bueno
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2022
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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