Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted an unannounced annual required visit. LPA met with DSP Ruth Rojas and explained the reason for the visit. Shortly after, the administrator Jorge Romero arrived and assisted with the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed clients' medications, observed food supply, and reviewed clients and staff files.

The facility is a single story house and located in a residential neighborhood area. The facility includes living room, dining area, kitchen, staff office, four clients bedrooms, two bathrooms and an attached garage. All 4 client bedrooms were toured. Each bedroom has one bed, one chair, one drawer, required bed linen and furniture and sufficient lighting and closet space. All two bathrooms were toured and they are clean, sanitary and in a good working condition. LPA tested the hot water temperature in both two bathrooms and it was measured between 107 and 112.7 degrees F which is within Title 22 regulation. The refrigerator in the kitchen and garage and the kitchen cabinet has sufficient 2 days perishable and 7 days non-perishable food supply. All the appliances are clean and working properly. The common area such as living room and dining area are clean and have the required furniture. The front and back yard are maintained well and the back yard has a shaded area with table and chairs for client to utilized. All the cleaning supplies and toxic and the sharp utensils and knives are locked in the cabinet located in the garage. LPA also inspected the smoke detectors and carbon monoxide detectors and they are working properly.

LPA reviewed 3 clients files and all their emergency contact information are updated. LPA also reviewed 2 staff files and they are all finger print cleared and the health screening forms are updated in the staff personnel file. LPA also inspected the 3 clients' medications and all seemed accurate and updated.