Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced annual visit at the facility using the CARE Tool. LPA Trueman met with Sky Julian (Administrator) and explained the reason for the visit. The facility is licensed to serve three (3) ambulatory and one (1) non-ambulatory developmentally disabled adults with restricted health conditions. The facility is operating within the scope of the license.

A tour of the single-story facility included the living room, den, kitchen, dining area, 4 client bedrooms, 2 bathrooms, laundry area, front yard, backyard, and detached garage. LPA Trueman conducted a tour 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. Sharps, chemicals and cleaning solutions are kept locked in a laundry cabinet. The First Aid kit is kept locked in the medication cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway closet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked. Client files are kept in a cabinet. Staff files were brought to the facility by the Administrator. All bedrooms have all required furniture, lighting, and bedding. All bathrooms were observed with shower mats and grab bars for non-ambulatory clients. The water temperature was tested in the bathroom and measured at 110.5 degrees F and is within the required 105-120 degrees F. A fire extinguisher was observed in the kitchen and it is fully charged. Smoke detectors were observed throughout the facility and in each room and were operable during the visit. There is a carbon monoxide in the den and was 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 all 4 clients and observed that medications are documented properly and given as prescribed. LPA reviewed files for all 4 clients and 5 staff files, and found no issues were found. 1 staff and 4 clients were interviewed.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview conducted.