Facility Evaluation Report

On 05/23/24, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with staff Cecilia Callejas and explained the purpose of today’s visit. Later was joined with House Manager Gloria Callejas. 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, one (1) office space 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 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.