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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604031
Report Date: 04/18/2024
Date Signed: 04/18/2024 11:21:58 AM

Document Has Been Signed on 04/18/2024 11:21 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:HELIX EMMANUELFACILITY NUMBER:
374604031
ADMINISTRATOR/
DIRECTOR:		JONATHAN SPARHAWKFACILITY TYPE:
735
ADDRESS:8965 JOHNSON DRIVETELEPHONE:
(619) 741-7603
CITY:LA MESASTATE: CAZIP CODE:
91941
CAPACITY: 6CENSUS: 4DATE:
04/18/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Jonathan SparhawkTIME VISIT/
INSPECTION COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Adrian Mangina conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility by Licensee Jonathan Sparhawk.

According to the facility’s license, the facility has a maximum capacity of six (6) clients. During today’s inspection, there were a total of 1 client present, and per medical records there are 4 residents currently living in the facility.

LPA, accompanied by DSP D’Anna Nunez, and toured the interior and exterior of the facility. The facility was clean, sanitary, and in generally in good repair. Pathways were free of obstruction and slip hazards. LPA inspected four of five of bedrooms, and all contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. Common spaces were toured. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was compliant at 71.4F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 112.8F, and bathroom measured 115.1F and 11.3F.

The average Refrigerator temperature were 40F and freezer temperatures were 0F. There were at least 2 days of perishable food, and at least 7 days non-perishable food present all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.

continued on LIC809 page 2
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: HELIX EMMANUEL
FACILITY NUMBER: 374604031
VISIT DATE: 04/18/2024
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LIC809 page 2

No pools or bodies of water on the premises. Per Licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in visible areas of the facility.

LPA interviewed staff and client. LPA reviewed multiple staff and client records/files. The interviews did not raise any significant licensing concerns. The reviewed files contained required documents. Confidential records were stored off site. Licensee also presented proof of current/active business liability insurance and surety bond. Administrator’s Certification expired 1/21/24, renewal was submitted January 2024 and is awaiting approval.

No deficiencies were observed or cited during today's annual inspection, see LIC9102 for Technical Violation given.

An exit interview was conducted with Licensee, Jonathan Sparhawk to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Adrian L Mangina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024
LIC809 (FAS) - (06/04)
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