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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 405802280
Report Date: 06/13/2023
Date Signed: 06/13/2023 02:22:03 PM


Document Has Been Signed on 06/13/2023 02:22 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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364



FACILITY NAME:C.A.L.L. - VALDEZ HOUSEFACILITY NUMBER:
405802280
ADMINISTRATOR:KYLAN REYNOSOFACILITY TYPE:
740
ADDRESS:4305 VALDEZ AVETELEPHONE:
(805) 460-6663
CITY:ATASCADEROSTATE: CAZIP CODE:
93422
CAPACITY:4CENSUS: 2DATE:
06/13/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Kylan Reynoso, AdministratorTIME COMPLETED:
02:35 PM
NARRATIVE
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On 6/13/23 at 11:15 am, Licensing Program Analyst (LPA) Chavez conducted an unannounced Annual/Required visit. LPA met with Kylan Reynoso, Administrator, and explained the purpose of the visit.

LPA toured the facility with the administrator. There were no clients in the facility nor other staff besides the administrator. Administrator states that clients are at day program. The facility is maintained in conformity with state fire marshal regulations. Smoke detectors and carbon monoxide detectors were tested and functioning properly. Fire extinguishers (3) were located in the kitchen (2) and at the end of the hallway near client bedrooms. Extinguishers were fully charged and last inspected on 11/22/22. There are no pools or bodies of water and no firearms or dangerous weapons stored. Hot water temperature measured at 113.7 F degrees in resident bathrooms (2). All toilets and hand washing facilities are maintained in a safe, sanitary, operating condition. The facility is clean, safe, sanitary and in good repair for the safety and well-being of clients, employees, and visitors. Each client is accorded safe, healthful, and comfortable accommodations, furnishings and equipment to meet his/her needs. There is a minimum 2-day supply of perishables and 7-day supply of nonperishable foods. Food is stored and prepared in a safe and healthful manner. Disinfectants, cleaning solutions and poisons are inaccessible to clients. The facility has adequate emergency supplies and first aid supplies. Facility temperature is 71 degrees F. Outdoor walkways are free from obstruction and the facility has outside areas for individuals to use. The gate on the right side of the property to/from the backyard is missing an automatic closing mechanism. Licensee will add the mechanism to the gate, take a video and send to LPA by 6/20/23. Centrally stored medication is kept secure in a locked cabinet in the living room and inaccessible to clients. Medications are given as prescribed by doctors’ orders, however, the most recent Centrally Stored Medications List for Client #1 (C1) was dated 6/1/22. Deficiency cited. Emergency disaster drills are conducted monthly. LPA reviewed (5) staff files for criminal record clearances and associations, Health screening with TB results, and current First Aid/CPR. Staff records reviewed are in-compliance. LPA reviewed (2) client files for current needs and services plans and signed admission agreements and personal rights. All files are in-compliance.

Exit interview conducted, deficiency cited, and the report and appeal rights given.

SUPERVISOR'S NAME: Kelly BurleyTELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Darlene ChavezTELEPHONE: (805) 450-0283
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
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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Document Has Been Signed on 06/13/2023 02:22 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364


FACILITY NAME: C.A.L.L. - VALDEZ HOUSE

FACILITY NUMBER: 405802280

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 06/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
87465(a)(6)
Incidental Medical and Dental Care Services
(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in [count] out of [total count] [(objects) (persons)] [identifiers] which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
Plan of Correction
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Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Kelly BurleyTELEPHONE: (805) 562-0413
LICENSING EVALUATOR NAME: Darlene ChavezTELEPHONE: (805) 450-0283
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
LIC809 (FAS) - (06/04)
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