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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374602424
Report Date: 10/31/2024
Date Signed: 10/31/2024 01:05:17 PM

Document Has Been Signed on 10/31/2024 01:05 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 DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:HOME OF GUIDING HANDS-PROSPECT HOUSEFACILITY NUMBER:
374602424
ADMINISTRATOR/
DIRECTOR:
RENE M. DOEHRERFACILITY TYPE:
735
ADDRESS:9643 PROSPECT AVETELEPHONE:
(619) 328-6248
CITY:LAKESIDESTATE: CAZIP CODE:
92040
CAPACITY: 4CENSUS: 4DATE:
10/31/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Administrator Rene DoehrerTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced Required Annual Inspection. LPA was greeted by Direct Support Provider (DSP) Larry Benett, identified herself, and was granted entry into the facility. A short time later Administrator Rene Doehrer arrived to join the inspection.

The facility is licensed with a maximum capacity of four (4) clients, all of whom must be ambulatory.

During today’s inspection, there was one (1) client and one (1) staff present at the Adult Residential Facility (ARF). LPA Correia conducted a general overall inspection. The facility serves 4 clients, age 18 to 59, and all of whom are ambulatory.

LPA Correia, accompanied by Administrator Doehrer, toured the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal and hot water temperature were with-in Licensing guidelines.

[Continued on LIC 809C]

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE: DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: HOME OF GUIDING HANDS-PROSPECT HOUSE
FACILITY NUMBER: 374602424
VISIT DATE: 10/31/2024
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[Continuation for LIC 809]

The facility temperature was 75 degrees Fahrenheit at the time of the visit. The client bathroom's hot water temperature measured at 115 degrees Fahrenheit. Disinfectants, cleaning solutions, poisons were inaccessible to clients. All of the client rooms were equipped with the required furnishings. Client bathrooms were observed to be sanitary and equipped with the required supplies. Grab bars were present for showers used by clients. Bathtubs and showers had nonskid flooring and grab bars. Lighting was maintained in hallways and passages to client bathrooms. Administrator provided each client with clean linen in good repair, and sufficient hygiene products for personal use. LPA Correia observed and secured photos of smoke alarms, and carbon monoxide detectors throughout the facility that were in operable condition. Per Administrator Doehrer there are no weapons and/or ammunition housed in the facility. There were no bodies of water observed on the facility ground.

The facility is stocked with a 2 day supply of perishable and 7 day supply of nonperishable food items. The food was observed properly stored. Medications are stored in a locked pantry and administered according to the label instructions. The facility's last disaster drill was conducted on 10/17/2024.

Based on today's visit, there were no deficiencies observed at this time in the areas evaluated. An exit interview was conducted with Administrator Doehrer and this report and licensee/appeal rights (LIC 9058 01/16) were provided and, their signature on this form acknowledges receipt of these documents.

SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
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