Facility Evaluation Report

On 05/29/26, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE Inspection Tool. California Department of Social Servies (CDSS) met with the Assistant Administrator Ibukun Bandeld Jr. and the purpose of today’s visit was explained. The facility is licensed to operate for (4) ambulatory developmentally disabled client of which (3) maybe non ambulatory. Currently, the home has two (2) clients. The clients are from Westside Regional Center. None of the clients have Restricted Health Care Conditions, and none are utilizing postural supports or protective devices. The facility is a one family home located in a residential neighborhood. The property consists of the following: 4 client bedrooms, 2 common bathrooms, staff office, living room, kitchen, dining room, laundry room, TV/Activity room and an outdoor shaded area. CDSS observed an garage which contained extra supplies and a deep freezer and storage.

CDSS conducted a records review of (2) client records, (2) staff 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.

At 12:00PM toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed, plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature properly measured at 116.7°F (degrees Fahrenheit).