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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565801433
Report Date: 09/27/2021
Date Signed: 09/27/2021 04:51:15 PM

Document Has Been Signed on 09/27/2021 04:51 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:BRIGHTER TOMORROWSFACILITY NUMBER:
565801433
ADMINISTRATOR:CHRISTOPHER BLUMFACILITY TYPE:
772
ADDRESS:1750B SOUTH LEWIS ROADTELEPHONE:
(805) 383-3669
CITY:CAMARILLOSTATE: CAZIP CODE:
93012
CAPACITY: 15CENSUS: 13DATE:
09/27/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Jennifer Beltran and Denise GonzalezTIME COMPLETED:
03:32 PM
NARRATIVE
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Licensing Program Analyst (LPA) Kelly Dulek conducted a required annual visit and inspection. LPA met with office staff Jennifer Beltran and Denise Gonzalez. Program Director/Administrator Christopher Blum was unavailable today.

A tour of the physical plant was initiated at 10:50am. LPA was accompanied by the office staff.

KITCHEN: The facility is equipped with two separate kitchens designated as Kitchen A and Kitchen B. Both kitchens were equipped with fixtures and appliances that appeared clean and functional. There was an adequate supply of perishable food to accommodate 15 clients for two days and nonperishable food to accommodate 15 clients for one week.

BEDROOMS: There were 15 bedrooms designated for client use. All bedrooms were furnished for single occupancy and were properly furnished and had adequate supplies of bedding and linen. No visible hazards were observed.

BATHROOMS: Each of the 15 bedrooms included an individual half bathroom equipped with a sink and commode. All bathrooms were properly supplied with paper products and personal hygiene items. At 11:10am, LPA observed the sink in room #4 to not drain properly. At 11:11am, LPA observed the toilet in room #5 to not flush and at 11:22am, the toilet in room #11 wouldn’t flush properly, causing unsanitary conditions. At 11:22am, LPA observed H2Orange Light Duty Cleaner on the bathroom counter in room #11 and at 11:30am, LPA observed Spray n’Wash under the sink in bathroom #13. At 11:28am, the hot water was measured in room #12 at 126.5 degrees F. There was one bathroom located in the main entrance designated for staff use only. There were four shower rooms, two at each end of the facility designated for client use.
Report Continued on LIC 809-C
SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE: DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/27/2021
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 4
Document Has Been Signed on 09/27/2021 04:51 PM - It Cannot Be Edited


Created By: Kelly Dulek On 09/27/2021 at 01:28 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BRIGHTER TOMORROWS
FACILITY NUMBER: 565801433

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
81087(l)
Buildings and Grounds
(l) The licensee shall ensure that items which could pose a danger if readily available to clients, including but not limited to disinfectants, cleaning solutions and poisons are stored where inaccessible to clients.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above, as during the facility tour, LPA observed H2Orange Light Duty Cleaner in a client restroom, and Spray N'Wash in another client restroom, which poses an immediate safety risk to persons in care.
POC Due Date: 09/27/2021
Plan of Correction
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Items were removed by the facility designee during the facility tour and placed in a locked storage area. POC cleared.
Type A
Section Cited
CCR
81088(e)(1)
Fixtures, Furniture, Equipment, and Supplies
(e) Faucets used by clients for personal care such as shaving and grooming shall deliver hot water. (1) Hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by clients to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in 1 resident bathroom out of 4 observed, hot water was measured at 126.5 degrees F which poses an immediate safety risk to persons in care.
POC Due Date: 10/05/2021
Plan of Correction
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Facility designee agreed to do the following:
1. Adjust the hot water temperature.
2. Complete a 7-day water temperature log, testing a variety of rooms at differing times of the day each day for 7 days
3. Submit the 7-day temperature log to LPA by POC due date.
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:Kristin Heffernan
LICENSING EVALUATOR NAME:Kelly Dulek
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2021


LIC809 (FAS) - (06/04)
Page: 2 of 4
Document Has Been Signed on 09/27/2021 04:51 PM - It Cannot Be Edited


Created By: Kelly Dulek On 09/27/2021 at 01:28 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: BRIGHTER TOMORROWS
FACILITY NUMBER: 565801433

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/27/2021

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
81087(a)
Buildings and Grounds
(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in 4 out of 13 bathrooms observed were very dirty and 2 of 13 had toilets that would not flush, and 1 of 13 bathrooms observed had a sink that does not drain properly, which poses a potential health risk to persons in care.
POC Due Date: 10/01/2021
Plan of Correction
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Facility designee agreed to do the following:
1. Contact the maintenance department and ensure the sink drain and toilets are fixed.
2. Facility staff will assist clients in cleaning the restrooms.
3. Send photos of the corrected items to LPA by POC due date.
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:Kristin Heffernan
LICENSING EVALUATOR NAME:Kelly Dulek
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2021


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
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: BRIGHTER TOMORROWS
FACILITY NUMBER: 565801433
VISIT DATE: 09/27/2021
NARRATIVE
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COMMON AREAS: These included two dining areas, one adjacent to each Kitchen and designated as A and B. There were two Living Rooms, one adjacent to each dining area also designated as A and B. All common areas were adequately furnished to accommodate a maximum capacity of 15 clients.

SURROUNDING GROUNDS: The surrounding grounds included Parking Lots, Walkways, and Lawns. There were various shady areas available for clients. There were no immediate or imminent hazards observed.

INFECTION CONTROL: During today’s visit, the LPA spoke with the office staff regarding the facility’s infection control practices at 1:20PM. There is 1 entry into the facility. Upon entry, the facility has a central entry point for symptom screening. The LPA observed an adequate supply of Personal Protective Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed case of COVID-19. The facility’s policies and procedures as it pertains to infection control are adequate.

At the conclusion of the visit, office staff/facility designees met with LPA and established the Plan of Corrections for the deficiencies cited. Citations issued, appeal rights provided, copy of report provided via email.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021
LIC809 (FAS) - (06/04)
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