Senior Care Records.

Facility Evaluation Report

Kenneth Adult Residential IV, Chino10/29/2024Licence 366426473

Capacity6
Census4
Date signed10/29/2024 03:57:42 PM
The inspector’s account

On this date, Licensees Sylvia and James Chavez met with Regional Manager (RM) Leslie Mendiveles, Licensing Program Manager (LPM) Karen Clemons and Licensing Program Analyst (LPA) Javier Prieto. Also in attendance was Genii Greco, Inland Regional Center (IRC) Quality Assurance Program Manager and Dalila Balderas, IRC Program Administrator Quality Assurance. The purpose of the meeting was to discuss recent bankruptcy filing and facility operations.

Licensees provide all with current status and next steps in regards to the bankruptcy filing. In addition, licensee reported no changes in facility operations. At this time, it appears that no immediate issues are indicated. Licensee agrees to be incompliance with Title 22 Regulations and report to the Regional Office as required. In addition, Licensee agrees to the following:

1. Insure follow-up with Plan of corrections due following deficiency issued on October 25, 2024.

2. Inform the Regional Office if there are any changes in the facility operations, to include changes on control of property.

3. Submit current facility staff (LIC 500) to Regional Office by November 1, 2024

4. Submit current resident roster to Regional Office by November 1, 2024.

In addition, licensees were informed that the Regional Office will be conducting increased visits to facility to insure compliance and health and safety of clients in care.

An exit interview was conducted with Licensees. Copy of this report was provided to Mr and Mrs Chavez.

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