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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604187
Report Date: 05/02/2024
Date Signed: 05/02/2024 09:48:55 AM

Document Has Been Signed on 05/02/2024 09:48 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:UNEXPECTED POSSIBILITIES, INCFACILITY NUMBER:
374604187
ADMINISTRATOR/
DIRECTOR:		TALIA, LORETTAFACILITY TYPE:
735
ADDRESS:807 BENNY WAYTELEPHONE:
(619) 771-7707
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY: 4CENSUS: 4DATE:
05/02/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Loretta Talia,Licensee, and Shevell Sterling, AdministratorTIME VISIT/
INSPECTION COMPLETED:
09:50 AM
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Licensing Program Analyst’s (LPAs) Carmen Lopez and Ryan Fulton conducted an announced case management visit for a Pre-Licensing inspection at an Adult Residential Facility for a change of location on today's date to inspect the facility for compliance. After arriving at the facility, LPA’s identified themselves and disclosed the purpose of the visit with Loretta Talia, Licensee, and Shevell Sterling, Administrator. LPA’s were granted entry by Shevell Sterling, Administrator.

During today’s inspection LPAs toured the physical plant, and observed the following client accommodations that will be brought with the clients from the facility along with the furnishings, linens, and personal hygiene items; resident bathrooms will be equipped with non-skid flooring.

Medications are currently stored in a locked cabinet located in the garage but will be stored in a locked cabinet located in the kitchen area of the new facility. Sharps are currently locked in a cabinet located in the garage and stored in a locked cabinet located in the kitchen area. Staff and resident records are kept in a secured cabinet in the garage and will be stored in the locked area with the medications; Food service including dishes, utensils, food storage, and a seven (7) day supply of non-perishables; the two (2) day supply of perishables will be brought over from this facility once required approval is met.

Toxic substances are currently stored in a locked cabinet in the garage and will be stored in a locked area in the next facility; first aid kit and first aid manual were present and will be taken with them upon the licensure of their new facility. It will be stored in a locked island of the facility.

Fire extinguisher (01) was present and serviced within the last 12 months; required facility postings were present and visible in the common areas of the facility and will be taken with them and posted once their new facility has been licensed. According to the Administrator Sterling, there are no guns, weapons, or ammunition stored on the facility property and none will be stored in their new facility.

(Continuation on LIC812-C)
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/02/2024
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: UNEXPECTED POSSIBILITIES, INC
FACILITY NUMBER: 374604187
VISIT DATE: 05/02/2024
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(Continuation of LIC812)

No deficiencies were observed during today's visit as all items reviewed during the visit are in compliance. An exit interview was conducted with licensee Loretta Talia and administrator Shevell Serling. A copy of this report along with the Applicant Rights (LIC 9058) were provided to them at the conclusion of the visit. The signature below is confirmation of receipt of these documents.
SUPERVISORS NAME: Jennifer Lott
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2024
LIC809 (FAS) - (06/04)
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