Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility using the CARE Tool. LPA Mora met with Vanessa Daniels (Administrator) and explained the reason for the visit. The facility is licensed to serve 3 ambulatory and 1 non-ambulatory clients ages 18-59. The facility is operating within the scope of its license.

The facility is in a residential area and it is a one story family home. A tour of the single-story facility included the living room, kitchen, 4 client bedrooms, 2 bathrooms, laundry area, front yard, backyard, and detached garage. LPA Mora conducted the tour with Vanessa and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen and refrigerator in the garage. Sharps were observed locked under the kitchen sink. Chemical and cleaning solutions are kept locked under the kitchen sink and hallway closet. The First Aid kit is kept locked in the medication closet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed each of the client’s bedrooms. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a hallway closet. Client files are kept in a hallway closet and staff files are kept in the garage. All bedrooms have all required furniture, lighting, and bedding. The bathrooms were observed with grab bars and shower mats. The water temperature was tested in the both bathrooms and measured at 118.2 degrees F and 116.6 degrees F, which is not within the required 105-120 degrees F. A fire extinguisher was observed in the living room and kitchen and both are fully charged. Smoke detectors combined with carbon monoxides were observed throughout the facility and in each room and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction. LPA reviewed medication for 3 clients (1 out of the 4 clients does not have any medication prescribed) and observed that medications are documented properly and given as prescribed. LPA reviewed files for all 4 clients and 4 staff and observed no deficiencies. LPA interviewed 2 staff and 1 client. LPA observed administrator certificate for Vanessa Daniels with an expiration date of 08/13/2024. LPA reviewed P&I funds for all 4 clients with the Administrator. Facility has a valid surety bond.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there was no deficiencies observed during the visit. Exit interview held and a copy of the report was provided.