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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197603524
Report Date: 08/09/2022
Date Signed: 08/09/2022 02:02:31 PM

Document Has Been Signed on 08/09/2022 02:02 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:
08/09/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:James Durando, AdministratorTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Shira Stamps met with Administrator James Durando for an unannounced one (1) year Required visit for this facility.

LPA arrived at 12:20pm and was greeted by a caregiver. One (1) resident was observed in the living room watching tv. The rest of the residents were observed to be in their room sleeping, watching TV and/or resting. LPA spoke to the Administrator over the phone who stated he would be at the facility in thirty minutes. The Administrator arrived at 1:00pm. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA reviewed facility mitigation plan (approved on 04/22/21) to make sure licensee was following current infection control recommendations. Upon arrival LPA was screened by the caregiver and asked all infection control questions. LPA was signed-in and sanitize/wash hands was available.

A tour of the physical plant was conducted with the Administrator at 1:00pm. The facility has seven (7) bedrooms and two (2) bathrooms currently occupying four (4) residents. One (1) bedroom is designated for staff use only.

Food Inspection
LPA conducted tour at the kitchen around 1:00pm and observed there to be sufficient stock of two-day perishables and seven-day non-perishables foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects locked in a kitchen cabinet with the fist aid kits. LPA observed gloves, masks, gowns, and sanitizer stored in a kitchen cabinet. The Medication cabinet was also located in the kitchen and was observed to be locked and inaccessible to residents in care.
CONTINUED...
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Shira Stamps
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2022
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
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: DURANDO HOME, INC.
FACILITY NUMBER: 197603524
VISIT DATE: 08/09/2022
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Living and dining
LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature approximately 70°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 1:30pm. There is one (1) fire extinguisher located in the kitchen. The Fire extinguisher was observed to be full and last serviced on 10/25/21.

Resident Rooms
LPA observed rooms to have the appropriate bedding. There is a night stand and sufficient lighting for each resident. LPA observed the staff room to store extra PPE supplies (6 month supply)

Bathrooms
At 1:13pm LPA observed all bathrooms to have the appropriated wash your hands signs posted. Hot water was tested and measured within regulation at 119.1 degrees F.

Laundry
LPA observed chemicals/hazardous items in the locked laundry room.

Physical environment
LPA toured the outside area of the facility at 1:21pm. LPA observed appropriate outdoor furniture, with a covered shaded area for residents. No bodies of water on the premises. No garage on the premises. LPA observed the shed to be used for storage.

Administrative: LPA collected the LIC.500 and the client roster. Annual fee was due on 8/6/22.

An exit interview was conducted, and a copy of this report was given to the Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Shira Stamps
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
LIC809 (FAS) - (06/04)
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