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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 372008333
Report Date: 01/22/2025
Date Signed: 01/22/2025 12:01:00 PM

Document Has Been Signed on 01/22/2025 12:01 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
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:DOWNSTOWN, INC. VFACILITY NUMBER:
372008333
ADMINISTRATOR/
DIRECTOR:		KECIA STINNETTFACILITY TYPE:
735
ADDRESS:1089 JENNIFER CIRCLETELEPHONE:
(760) 630-0028
CITY:VISTASTATE: CAZIP CODE:
92083
CAPACITY: 4CENSUS: 4DATE:
01/22/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:35 AM
MET WITH:Executive Director, Kecia StinnettTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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On 1/22/2025, Licensing Program Analyst (LPA) Janette Romero arrived unannounced to conduct a case management visit to ensure the health and safety of Client 1 (C1) who moved into the facility after the fire incident at Downstown IV on 9/24/2024. LPA met with Executive Director (ED), Kecia Stinnett who was informed of the purpose of the visit. During the visit, ED reported C1 was out in the community attending the day program. LPA toured the facility and observed C1's bedroom, which had the required bedding, furniture, and lighting. LPA also conducted an interview House Manager (HM), Javier Cruz Garcia who reported C1 is happy to reside in the home. ED added the facility reviewed C1's Individual Program Plan to provide C1 with the required care and supervision. LPA also observed the facility had a two-day supply of perishable foods and seven-day supply of non-perishable foods. The facility has operating utilities and LPA did not observe any imminent health or safety concerns. An exit interview was conducted and a copy of this report was reviewed and provided to ED.
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE: DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/22/2025
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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