Facility Evaluation Report

On 05/05/2023, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with administrator, Gloria Callejas and explained the purpose of today’s visit. The facility is licensed to operate for four (4) adult clients of between the ages of 18 through 59. The clients are Harbor Regional Center clients. Two clients have Restricted Health Care Conditions, and none are utilizing postural supports or protective devices. The facilities annual fees are current.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, two (2) office spaces with one in the kitchen area and the other in a separate closed-door area, three (3) bathrooms, two (2) living areas, a dining area and kitchen. There is an outside covered patio area in the backyard with ample seating. The laundry area is located near the rear between rooms #2 and #3. The garage is detached with access from a door and used for storage. There is also a detached storage area behind the garage.

LPA conducted a records review of (4) client records, (6) staff records, (4) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) Client Medication Administration Records and did not observe any discrepancies at the time of visit.

LPA and Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured within Title 22 guidelines. A comfortable temperature was maintained in the facility.