Facility Evaluation Report

Licensing Program Analyst (LPA) Vaid conducted an unannounced annual inspection. LPA met with and was allowed entry by lead caregiver Virginia Wilson and spoke with Administrator, Adelina Esguerra over the phone to discuss the purpose of today's visit with both staff. Staff 2 and 3 were assisting clients for day program. Administrator was not able to attend due to medical appointment. Administrator certificate expires 03/26/2027.

During the annual, the CARE tool was utilized; tour of the facility conducted; food supply was reviewed; staff/clients records were reviewed; staff / clients were interviewed, and medications were reviewed.

The facility is a single-family home located in a residential neighborhood. The facility is licensed to serve six (6) developmental disable ambulatory only clients, from age 18-59. LPA observed the facility to have three (3) client bedrooms, two (2) clients per bedrooms, two (2) bathrooms, living room, dining room, kitchen, garage, laundry area on the back porch and an indoor/outdoor activity area. A shaded area with chairs were provided at the backyard. Common areas were observed for their ability to safely serve the needs of the clients. All client rooms were furnished with appropriate furniture for clients’ comfort. The bathrooms were furnished with grab bars and nonskid surfaces. Hot water temperature was measured at 103.4 degrees Fahrenheit which was not within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Facility maintained a comfortable temperature for clients. A sufficient supply of perishable and non-perishable foods was observed. The backyard activity area was a shaded area with chairs. Smoke and carbon monoxide detectors were tested and operational. The last Fire/ Emergency Drill was conducted on 02/03/2026. The fire extinguishers were fully charged. Medications were centrally stored, locked and the records were current. Hazardous items and sharp items were locked and inaccessible to clients.

Deficiencies were cited per California Code of Regulations, Title 22. An Exit conference was conducted and LIC 809 and LIC 809D report was provided to Staff#2, lead caregiver.