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 David Vaughn Senior, Administrator and the purpose of today’s visit was explained.

There are currently (3) West-side Regional Center consumers in placement. All (3) clients are ambulatory. (0) non-ambulatory. The facility is a single-story structure located in a residential neighborhood. It consists of the following: 3 bedrooms, 2 bathrooms, living room, kitchen, dining room, shaded area, indoor and outdoor activity area, laundry area next to kitchen, and a detached garage.

LPA and Administrator toured the entire facility inside and out. Documents are posted as mandated by the DPH and CCLD. Bedrooms #1 & #2 are occupied by clients and contain the mandated furniture. Bedroom #3 is a staff bedroom. Bathrooms #1 has a broken toilet that does not flush and water leaking. The wall that holds the bathtub faucet needs repair, it has water damage and paint is chipped and coming up, no hot water in bathroom #1 sink faucet. Bathroom #2 is a staff bathroom. Kitchen lower cabinets are broken, paint is chipped, drawers do not close, 2 kitchen light fixtures do not work. The floor space and wall next to laundry equipment needs repair, floor need cleaning and wall needs cleaning and/or painting. The kitchen faucet broken, under kitchen sink water damage to floor and doors do not close. Smoke detectors and carbon monoxide detector comply and are operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to clients. 1 staff file is not current (needs current CPR and CPI cards), 1 resident file is not current (needs Physician's report and current IPP, medications were current. The water temperature is at 105 degrees. A comfortable temperature is maintained in the facility. Ample supply of perishable and nonperishable food, linens and personal hygiene supplies are adequate, hazardous toxins and/or items are inaccessible to clients, (1) fire extinguishers is fully charged. First Aid kit complete and has no manual. Exit, front and back yard are free of debris and/or hazards. The facility is in good repair.