Facility Evaluation Report

On 02/19/2025 at 11:15am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Kenya Brown, Administrator and the purpose of today’s visit was explained. The facility is licensed to operate for 6 ambulatory, ages 18 through 59. Currently, the home has 4 clients. The clients are Westside Regional Center clients. None the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices. The facility annual fees are paid in full. The liability insurance is with AmGuard Insurance Company (policy period 08/08/2024 - 08/08/2025) with each occurrence limit at $1,000,00 and general aggregate limit at $3,000,000. The last emergency drill was conducted on 02/02/2025.

The facility is located in a residential neighborhood. The property consists of the following: 4 client bedrooms, 1 in staff bedroom, 2 bathrooms (1 common, 1 private for one of the clients), 1 half bedroom, staff office, living room, kitchen,a dining room, a lounge area, a community room, an attached garage which is the activity room, a washer and dryer near the kitchen and and 2 outdoor shaded areas.

Between the hours of 11:52am - 12:30pm, LPA conducted a records review of (4) client records, (2) 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 observed any discrepancies at the time of visit.

Between the hours of 11:26 am - 11:51am, LPA and Kenya Brown 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.