Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced annual visit at the facility using the CARE Tool. LPA Trueman met with Gil Martinez (Administrator) and explained the reason for the visit. The facility is licensed to serve 4 ambulatory only clients in the age range of 18 through 59. The facility is operating within the scope of the license.

A tour of the single-story facility included the living room, kitchen, dining area, 4 client bedrooms, 2 bathrooms, laundry area, front yard, backyard, and detached garage. LPA Trueman conducted the tour 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. Sharps were observed locked in the medication closet. Chemical and cleaning solutions are kept locked under the kitchen sink. The First Aid kit is kept locked in a kitchen cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in each bedroom. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in the medication closet in the hallway. Client files are kept in the medication closet and staff files are kept in the garage. All bedrooms have all required furniture, lighting, and bedding. All bathrooms were observed with shower mats. The water temperature was tested in both bathrooms and measured at 110.4 degrees F which is within the required 105-120 degrees F. A fire extinguisher was observed in the kitchen and it is fully charged. Smoke detectors were observed throughout the facility and in each room and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction. LPA reviewed medication for all 4 clients and observed that medications are documented properly and given as prescribed. LPA reviewed files for all 4 clients and 6 staff files. LPA observed administrator certificate for Gil Martinez - 702750735 with an expiration date of 02/11/2026. LPA interviewed 1 staff and 1 client.

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