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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 370808290
Report Date: 09/15/2022
Date Signed: 09/16/2022 08:29:00 AM

Document Has Been Signed on 09/16/2022 08:29 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:TURMAN'S CLARENDON HOUSE IIIFACILITY NUMBER:
370808290
ADMINISTRATOR:KELLY GALLOWAYFACILITY TYPE:
735
ADDRESS:1288 CLARENDON STREETTELEPHONE:
(619) 440-5143
CITY:EL CAJONSTATE: CAZIP CODE:
92021
CAPACITY: 6CENSUS: 5DATE:
09/15/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Facility Manager Vanessa OverholserTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Liliana Silveira conducted a case management visit to gather additional information on a self reported incident regarding bed bugs.

On 07/07/2022 the facility reported to CCLD that there were bed bugs found in room #3. LPA met with Facility Manager Vanessa Overholser. LPA reviewed facility records and interviewed staff. LPA also toured and inspected the facility. LPA checked bedrooms, mattresses, and interviewed clients.

During the tour LPA inspected bedrooms, including the mattresses, and did not observe any bed bugs. Vanessa stated that new mattresses and plastic covers were purchased, receipts are on record. LPA observed new tags dated 05/25/22 on the mattresses. Vanessa stated that a Pest Control Service inspected the facility on 07/06/22. Pest Control treatment was conducted on 08/04/22 and 09/07/22. LPA observed pest control service receipts. Vanessa stated that the Pest Control Service will come out one more time within the next week to conduct a final inspection.

LPA also interviewed residents who were present and none reported problems with bed bugs. LPA did not observe any immediate health and/or safety violations and after speaking with residents, did not receive any complaints about their health. No citations were issued during this visit.

An exit interview was conducted and a copy of this report and appeal rights were left at the facility with Vanessa. Signature on this report is confirmation of receipt of appeal rights.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE: DATE: 09/15/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/15/2022
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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