Facility Evaluation Report
On 2/14/25 Licensing Program Analyst (LPA) M. Garza arrived unannounced for an annual inspection visit. LPA was met by Receptionist, Paulina Lopez explained reason for visit and was permitted entry into the facility. Administrator, Katonya Hunt was contacted and arrived some time later.
LPA completed a health and safety check on clients in care. 3 clients present during visit. All others were at a group outing. LPA toured the facility. Facility is one large room set up with stations clients go to. Clients present observed at station table. Pathways and doors were clear and free from obstruction. Facility was clean and without odor. Common areas were clean, adequately furnished, and adequately lit. Smoke detectors and carbon monoxide detectors were present and operational at time of visit. Fire extinguisher last serviced 4/18/24. Last fire drill on 12/10/24. Water temperature measured at 118.6 degrees F in bathroom #1. Sharps, chemicals and medications were located in locked rooms. Facility does not have an outside area. Sample files for staff and clients reviewed.
The following issues were observed during todays visit: 1 of 3 staff files reviewed did not have the required health screening and TB. 1 of 3 client files reviewed do not have a complete admission agreement. 1 of 3 files reviewed has an outdated Needs and Service Plan. Facility does not have current version of the Disaster Plan with all required information. Deficiencies and TV's provided per Title 22. TSP (for files) was offered and declined.
LPA requested the following documents to be submitted to CCL by 2/21/25 : Administrator Organization (LIC 309), Designation of Administrative Responsibility (LIC 308), Emergency Disaster Plan (LIC 610-D), Affidavit regarding Resident Cash Resources (LIC 400), Personnel Report (LIC 500), Register of Facility Clients/Residents (LIC 9020) in order to update the facility file.
Exit interview completed with Administrator, Katonya. A copy of this report, deficiencies TV's and appeal rights provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction