Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met with House Manager Sheila Wright and explained reason for visit. The facility is licensed to serve 4 Developmentally Disabled Clients (age 18-59) of which four (4) may be ambulatory only. Rooms 1,2,3, & 4 are ambulatory, one client per room. Currently the home has 0 clients. The facility is a two-story structure located in a residential neighborhood of Carson. It consists of the following: 4 bedrooms, 2 bathrooms, dining room, kitchen, living room, outdoor shaded area, and an attached garage.

LPA Gutierrez conducted the tour with House Manager and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Kitchen appliances are clean and were operating at the time of the visit. Sharps were observed locked in a hall cabinet. Chemicals and cleaning solutions are kept locked in the garage. The First Aid kit is kept in the entry way closet, and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway closet upstairs. Dining and living room have sufficient lighting and sitting area. Medications will be kept locked in a hallway cabinet. All bedrooms have all required furniture, lighting, and bedding. The bathrooms are clean. The water temperature was tested in both bathrooms and measured within the required 105-120 degrees. Two fire extinguishers were observed in the kitchen and upstairs hallway and are fully charged. Smoke detectors / carbon monoxide detectors were observed throughout the facility and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No pools or bodies of water were observed at the facility. Passageways and exits are free of obstructions. Three staff files were reviewed and complete with all documents required.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.