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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197607393
Report Date: 01/30/2025
Date Signed: 01/30/2025 01:50:28 PM

Document Has Been Signed on 01/30/2025 01:50 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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME:DURANDO HOME INC.IIIFACILITY NUMBER:
197607393
ADMINISTRATOR/
DIRECTOR:		JAMES DURANDOFACILITY TYPE:
740
ADDRESS:36235 43RD STREET EASTTELEPHONE:
(661) 285-2544
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY: 4CENSUS: 3DATE:
01/30/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:James Durando-AdministratorTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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On 1/30/25, at around 10:00 AM, Licensing Program Analyst (LPA) Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the Direct Support Professional (DSP). LPA stated the reason for their visit. Administrator James Durando and House Manager Nancy Magallanes arrived shortly after to assist with today’s visit.

LPA requested census, Staff and Resident Roster. LPA conducted a physical plant tour at approximately 10:40 AM and the following was noted:

There is only one entrance being utilized at the facility. The facility is a two-story building with four (4) bedrooms and two (2) bathrooms currently occupying three (3) residents. No designated staff room. The facility has approved fire clearance for four (4) ambulatory residents. This facility is operating at a Level III and are vendor through North Los Angeles County Regional Center.



Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. Required postings such as See/Say Something, Long-Term Ombudsman, and Resident’s Rights were located near staff reception desk.
Common Areas: All common areas were observed to be neat, clean, and organized. All common areas were properly furnished and in good repair. The facility maintains a comfortable temperature of seventy-one (71) degrees. No firearms observed or will be maintained on the premises. Working telephone on premises.

Fireplace: LPA observed fireplace covered and inaccessible to residents.

Residents/staff files: LPA observed resident files stored in a locked storage room aside the staff reception desk. LPA observed staff files locked in a locked box in the staff reception desk. Both files are kept locked and inaccessible to residents.

LIC809C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE: DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/30/2025
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 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: DURANDO HOME INC.III
FACILITY NUMBER: 197607393
VISIT DATE: 01/30/2025
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Kitchen: Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods was observed. Working stove and refrigerator observed and in proper condition. Sharps kept in locked kitchen cabinet where the medication is kept.

Emergency: Fire extinguisher located upon entrance on the right side leading towards the kitchen dated 05/30/2024.

Medications: Medication stored in kitchen cabinet aside the kitchen sink. Medication storage is equipped with a lock to ensure medications will not be accessible to residents. First-aid kit observed as well.

Bedrooms: All four (4) bedrooms are located on the first floor. The bedrooms are properly furnished with bed, nightstand, applicable lightening, and seating. Window coverings are in good repair, not broken or damaged.

Bathroom: The bathrooms are in proper condition. Towels and washcloths are not shared. LPA observed appropriate grab-rails and nonskid mats.

Hallways: Hallway is properly lighted. Extra linens/covers stored in storage closet located in hallway’s passageway.

The Garage: The garage can be accessed from inside the facility. The garage is being used for extra storage, cleaning solutions, and Laundry detergents. The garage is kept locked and inaccessible to residents.

Laundry: Laundry is located inside the garage. Dryer and washer observed to be in good repair.

Water Temperature: The water temperature was measured within regulations.

Smoke detectors: Smoke detectors and carbon monoxide observed to be working properly and were tested at 11:00 AM.

Outside: The outside is clean, free of hazards, and properly furnished with sufficient seating. A shaded area for residents was observed as well. LIC809C-continued

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
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
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: DURANDO HOME INC.III
FACILITY NUMBER: 197607393
VISIT DATE: 01/30/2025
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Pool: The pool is vacant and not working. LPA observed pool properly fenced and locked inaccessible to residents.
Administration: The facility had submitted an Emergency and Disaster Plan For Residential Care Facilities for the Elderly and Mitigation Plan. LPA conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPA conducted a complete file review of staff records. Staff records appeared to be complete and updated.

No other immediate health and safety issues observed. Exit interview conducted and copy of this report was given to the Administrator.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Angelica Segovia
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2025
LIC809 (FAS) - (06/04)
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