Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit using the CARE Tool. LPA met with Maribel Sebastian (Co-Administrator) and explained the reason for the visit. The facility is licensed to serve 4 non-ambulatory developmentally disabled adults ages 18 to 59 years old with restricted health conditions. The facility is operating within the scope of its license.

LPA and Administrator toured the home and inspected 4 client bedrooms, 1 staff room, 1 client bathroom, 1 staff bathroom, kitchen, dining area, living room, front yard, backyard, and attached garage. The front and backyard are well maintained and there are no pools or large bodies of water. There is a shaded seating area for the clients located in the backyard. Passageways and exits are free of obstruction. The water temperature was tested in both bathrooms and both measured at 113.1 degrees F which is within the required 105 - 120 degrees. Client bedrooms have the required furniture such as bed frames, dressers, lamps and chairs. Bedrooms also have sufficient closet space. Client beds have the required linen and the linen is in good condition. There is a cabinet in the hallway with extra clean linen and towels. Smoke detectors were observed in each room and throughout the facility, and are properly operating. There is a carbon monoxide in the hallway and it is properly operating. There is one fire extinguisher located in the kitchen which is fully charged. Kitchen appliances are clean and were operating at the time of the visit. Sharps are locked in a cabinet in the kitchen and are inaccessible to clients. Cleaning supplies and toxins are locked in a cabinet inside the garage and are inaccessible to clients. First Aid kit was fully stocked with current manual and it is kept locked in the medication cabinet in the dining area. Sufficient supply of 2 days perishable & 7 days non-perishable foods were observed in the kitchen. Client medications and files are centrally stored in a locked cabinet in the dining area. Staff files are kept locked in a file cabinet in the dining area. All four of the client files and medications were reviewed and no deficiencies were found. Medications are documented properly and given as prescribed. Five staff files were reviewed and no deficiencies were found. LPA interviewed 2 staff and could not interview any of the clients due to the clients being non-verbal.

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