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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 371881641
Report Date: 01/13/2025
Date Signed: 01/13/2025 10:30:28 AM

Document Has Been Signed on 01/13/2025 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:NEW BEGINNINGS #1 LLCFACILITY NUMBER:
371881641
ADMINISTRATOR/
DIRECTOR:		SELBURN, SHANEFACILITY TYPE:
775
ADDRESS:504 E ALVARADO ST #102,201,202TELEPHONE:
(760) 586-1994
CITY:FALLBROOKSTATE: CAZIP CODE:
92028
CAPACITY: 30CENSUS: 0DATE:
01/13/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Licensee, Shane SelburnTIME VISIT/
INSPECTION COMPLETED:
10:45 AM
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On 1/13/2025, Licensing Program Analyst (LPA), Janette Romero made an announced visit to conduct a pre-licensing inspection. LPA met with Licensee, Shane Selburn. On 7/29/2024, the Department received an application to operate a new adult day program. On 10/1/2024, the facility was granted a fire clearance for thirty (30) ambulatory clients.

LPA toured the day program's interior and exterior with Licensee Selburn and did not observe any clients in care. LPA observed the facility is made up of a two-story building with eight (8) classrooms, two (2) bathrooms, three (3) multipurpose rooms, a storage room and kitchen. Classrooms are designated to allow clients to do art, meditate, learn life skills including community safety, money management and shopping, obtaining a job, and computer technology along with playing board and arcade games. Indoor and outdoor passageways and stairways are free of obstruction. There are no bodies of water on the premises. Licensee tested the smoke and carbon monoxide detectors and LPA found them to be operational. LPA observed several charged fire extinguishers mounted throughout the facility. Snacks will be provided to clients during program hours. During tour of the kitchen, LPA observed an operable refrigerator and a seven-day supply of non-perishable snacks. Restrooms were clean and had toilet paper, paper towels, and soap readily available for future clients. Cleaning solutions and disinfectants are secured in a locked storage closet. Medications for clients who will require medication assistance during program hours will be secured in a locked closet. Client rights, complaint information, facility sketch, and emergency contact information is visibly poster near the main entrance.

During today's visit LPA did not observe any issues or concerns. Final approval of licensure will be granted by the Centralized Application Bureau analyst. An exit interview was conducted and a copy of this report was reviewed and provided to Licensee.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 01/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/13/2025
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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