<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197603524
Report Date: 07/12/2021
Date Signed: 07/12/2021 06:12:04 PM

Document Has Been Signed on 07/12/2021 06:12 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., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:DURANDO HOME, INC.FACILITY NUMBER:
197603524
ADMINISTRATOR:JAMES DURANDOFACILITY TYPE:
740
ADDRESS:1208 WEST H-15TELEPHONE:
(661) 940-5418
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY: 4CENSUS: 4DATE:
07/12/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:15 PM
MET WITH:Carol HueteTIME COMPLETED:
01:45 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced required annual visit. Upon entry LPA informed staff of the reason for this visit.
At approximately 12:15 pm a physical plant tour was conducted. Facility license/sketch, personal of rights, grievance/complaint procedures, rights of individuals with disabilities, client roster, personal rights, evacuation procedures, personnel report, activity schedule, daily menu, and rights of developmental disabilities was visibly posted. Covid information was also posted in the facility along with reminders for hand washing in the bathrooms. LPA's temperature was taken upon entry and sanitizer was available throughout the facility.
The following common areas: living, dining, kitchen, family, client bedrooms, bathrooms, and backyard were inspected to ensure there are no health and safety hazards and facility was in compliance with Title 22 Regulations.
Kitchen: Food service area had Licensing requirement of (7) day nonperishable, and (2) day perishable. Food was properly stored in a healthy manner. Appliances and cups, plates, utensils, were functional and good condition. Kitchen area, stores medication, in a locked cabinet. Chemicals, and household supplies, were locked and stored in a storage cabinet. Living/dining/family: All areas were clean, and appropriately furnished. Passageways were free from obstruction, and inside temperature was comfortable and cool. Bedrooms: Facility has (7) bedrooms, with (1) room used for storage. All bedrooms were clean, and properly furnished; with appropriate bedding and linens. Bathrooms: There are (3); all were clean, with grab bars, shower chair, and non-skid mats. Hot water measured at 110 degrees Fahrenheit. Surrounding Grounds: The facility has a large and spacious backyard. There were no visible hazards, and passageways were free from obstruction. Gates were easily accessible. Smoke alarms and carbon monoxide detectors are hard wired and were tested and operating properly. Fire extinguisher fully charged. First aid kit furnished fully equipped, with current manual. All exit doors have sensor alarms; all were operating.
Exit Interview conducted.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Wendell Smith
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2021
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 1