Facility Evaluation Report

On 2/6/24, at 3pm, Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced a post licensing visit, with the use of the CARE Inspection Tool. LPA met with Paul Six, co-licensee, and explained the purpose of today’s visit. Present during this visit, there were 1 client in care with 1 staff on duty.

At 3:15pm, LPA inspected the facility’s physical plant including but not limited to the kitchen, dining room, resident bedrooms, resident bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. Pool is empty and inaccessible. Outside of the facility was observe to be cleaned and clear of obstructions. Additionally, LPA observed outdoor furniture for residents’ use and area for outdoor activities. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed 4 client bedrooms and 2 bathrooms for client use. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the resident's personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were operational and adequately supplied including with grab bars and non-skid flooring.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to residents in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. Room temperature was maintained in the facility at 69 degrees F. Water temperature in one of the bathroom was measured at 106 degrees F. Fire extinguisher was serviced on 6/24/23. Smoke detectors and carbon monoxide were tested and found to be operable during this visit.