Facility Evaluation Report
On 4/18/2023 at 10:00AM Licensing Program Analyst (LPA) L. Ibo arrived unannounced to conduct an annual required inspection. LPA met with Administrator Charlie Santos and Backup Administrator Mathew Tobias. Facility has census of 3. LPA observed three (3) clients and two staff with Administrator at the facility.
LPA toured the entire premises indoors and outdoors with Charlie Santos, including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility has 4 bedrooms including master bedroom, 2 bathrooms including master bathroom, two story house per facility sketch. Three bedrooms are designated for clients’ master bedroom is designated for staff. LPA observed 2 fire extinguishers which was in the kitchen and second floor of the home adjacent to bedroom #3. Smoke detectors and carbon monoxide detectors were observed operational. The facility received a fire clearance dated 03/18/2021 with an approval for a total capacity of 4 clients, approved for ONLY 4 ambulatory residents.
Facility has enough supplies of PPEs, paper supplies and hygiene supplies. Facility has a mitigation plan and infection control plan.
There was sufficient supply of perishable and non-perishable foods observed. LPA interviewed 2 staff and interviewed two (2) out of 3 clients. First aid kit was observed complete. Freezer temperature was observed at 0 degrees Fahrenheit. Refrigerator temperature measured at 37 degrees Fahrenheit.
No deficiency cited during the visit; however a technical violation was provided to Administrator.
Exit interview conducted. Appeal Rights and copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction