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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331880575
Report Date: 07/28/2021
Date Signed: 07/28/2021 11:17:44 AM

Document Has Been Signed on 07/28/2021 11:17 AM - 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:NEW LIFE SENIOR INDEPENDENT LIVINGFACILITY NUMBER:
331880575
ADMINISTRATOR:WYLIE, EDWARDFACILITY TYPE:
740
ADDRESS:25247 CORTE ORANADATELEPHONE:
(951) 691-8060
CITY:MURRIETASTATE: CAZIP CODE:
92563
CAPACITY: 3CENSUS: 1DATE:
07/28/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Edward and Michelle WylieTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Deborah Mullen arrived and conducted an unannounced annual inspection. LPA met with Edward and Michelle Wylie, Licensees. Michelle Brann-Wylie has a current Administrators Certification (expiration 1/18/2022).

LPA was provided a tour of the home and observed the following: the facility is a two story home with four bedrooms and two bath upstairs; one bedrooms and one bath downstairs, serving all independent residents. Staff and resident files are kept locked in a cabinet in the upstairs office. Resident medications are locked in a case on the kitchen counter. The facility had a complete first aid kit. Sharps and knives are not locked due to the residents being independent. Facility is clean, sanitary and in good repair. Kitchen sinks/refrigerator/stove, toilets/sinks/showers/tubs, dinnerware supplies were also reviewed and are in good repair. There are exit alarms that are working on all exit doors. There is an adequate supply of linens, hygiene supplies and drawer and closet space for residents' belongings. Facility has smoke detector and carbon monoxide detector in working order. Locked toxins and detergents are stored in a locked cabinet inside the laundry room. LPA observed a 7 day supply of non-perishable and 3 days of perishable food for resident.

The facility appears to be in compliance at this time. No deficiencies were cited. An exit interview was conducted and a copy of this report was reviewed with and provided to the Licensees.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Deborah Mullen
LICENSING EVALUATOR SIGNATURE: DATE: 07/28/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/28/2021
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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