Facility Evaluation Report

Licensing Program Analyst (LPA) Val Maldonado made an unannounced visit at the facility for the purpose of conducting the required annual inspection, using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with Administrator, Edna Garbanzos and Assistant Administrator, Kevin Garbanzos, and explained the purpose for the visit.

During today's visit, LPA Maldonado conducted a tour of the physical plant with Administrator, observed the facility food supplies, reviewed (2) client medications, (2) client files, (5) staff files, and conducted interviews with (2) staff and attempted interviews with (2) clients. The facility is a single-story home, operating as an Adult Residential Facility. It is licensed to serve (4) developmentally disabled adults, ages 18 through 59. There is a fire clearance approved for (4) non-ambulatory clients. An approved mitigation plan is in place and Infection Control plan has been submitted to the department for review.

LPA observed all client bedrooms to have the required furniture, sufficient lighting, and closet/storage space. There are (2) full bathrooms in the home. (1) bathroom is designated for resident use and one for staff/visitor use. Resident bathroom is equipped with required grab bars and non-skid mats for the shower. The hot water was tested and measured between 111*F-114*F, which is in compliance. Food supplies was observed and was sufficient as required. Emergency food supplies and water were available. First aid kit and manual were observed. There were no bodies of water observed on the premises. Fire extinguishers were observed throughout, with current inspections and were fully charged. All sharps and cleaning supplies/toxins were observed to be locked and inaccessible to residents in care. Smoke/carbon monoxide detectors were tested and observed to be operational during the visit. Per Administrator, she is unsure what happened to it as it was connected to the wall in the kitchen. (3) resident files and (2) staff files were reviewed and observed to be complete with all required documentation. (2) resident medications were reviewed and were observed to be documented properly and given as prescribed.

Per California Code of Regulations, no deficiencies were observed or cited..

An exit interview was conducted and a copy of this report was provided.