Facility Evaluation Report

Licensing Program Analyst (LPA) Ana Soto conducted an unannounced Annual inspection visit and infection control inspection to the above facility. LPA was met by Mark Thomas, Administrator and the purpose of today’s visit was explained.

There are currently (0) Westside Regional Center consumers in placement . There are no clients residing at the facility at this time. The facility is a single-story structure located in a residential neighborhood. It consists of the following: 3 bedrooms, 2 bathrooms, living room/office, kitchen, dining room, shaded area, indoor and outdoor activity area, laundry room and a detached garage.

LPA and Administrator toured the entire facility inside and out. Documents are posted as mandated by the DPH and CCLD. All 3 bedrooms contain the mandated furniture. The (2) bathrooms are clean and operational. Smoke detectors and carbon monoxide detector comply and operational. No firearms are stored at facility and no bodies of water present. The facility has no clients or staff working at the facility at this time. The water temperature is at 105 degrees. A comfortable temperature is maintained in the facility. No food supply at this time, no linens at this time, sufficient personal hygiene supplies, hazardous toxins and/or items are inaccessible to clients, (1) fire extinguishers are fully charged. First Aid kit complete and with manual. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility is in good repair.