Senior Care Records.

Facility Evaluation Report

Divine Residential Home, Lake Elsinore03/30/2022Licence 331881149

Capacity4
Census2
Date signed03/30/2022 11:30:20 AM
The inspector’s account

Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility 03/30/2022 at 09:30 AM to conduct a health and safety check. LPA Brown identified herself and discussed the purpose of the visit with caregiver Folarin Esther Akanji. Administrator Olayinka King was contacted and arrived at the facility. LPA Brown explained the purpose of the visit due to complaint # 56-AS-20220325084430.

One (1) client in care were present during visit but was sleeping. The other client in care is in the day program. LPA Brown observed no health and/or safety hazards inside the facility. LPA Brown inspected the outside perimeter of the facility and observed no health and/or safety hazards. During the visit, and per records review, LPA Brown observed Staff 2 working and providing care to clients without fingerprint clearance. Staff 2 provided copy of Fingerprint Clearance application and LPA Brown explained to Staff 2 that Fingerprint application was submitted but no Fingerprint Clearance was issued. LPA Brown asked Staff 2 when Staff 2 started working and providing care at the facility and Staff 2 answered since 02/07/2022. LPA Brown requested Staff 2 to leave the facility and come back once Fingerprint Clearance has been issued. LPA Brown will be issuing a deficiency for Staff 2 working and providing care at the facility without fingerprint clearance as this poses immediate risk to clients in care. Also, civil penalty will be assessed in the amount of $500.

LPA Brown inspected facility food supplies and observed more than two (2) days supply of perishable foods and more than seven (7) days supply of non-perishable foods. The needs of the residents in care appears to be met during this inspection.

An exit interview was conducted where this report (LIC809), LIC809D, LIC421BG and Appeal Rights were discussed and provided to Administrator Olayinka King .

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction