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 Whitley John (Administrator) and explained the reason for the visit. The facility is licensed to serve 3 non-ambulatory clients ages 18-59.

A tour of the single-story facility included the 3 client bedrooms, 2 bathrooms, living room, dining area, kitchen, staff area, front yard, backyard and attached garage. LPA Mora conducted the tour with Verretta 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 and cleaning chemicals were observed locked under the kitchen sink. The First Aid kit is kept mounted on the hallway wall and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in each bedroom closet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a hallway closet. Client and staff files are kept in a hallway closet. All bedrooms have all required furniture, lighting, and bedding. The bathrooms were observed with shower mats and required grab bars for non-ambulatory clients. The water temperature was tested in the both bathrooms and measured at 119.7 degrees F and 119.5 degrees F, which is within the required 105-120 degrees F. Fire extinguishers were observed in the hallways and are fully charged. Smoke detectors and 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 2 clients and observed that medications are documented properly and given as prescribed. LPA reviewed files for 2 clients and 5 staff. LPA interviewed 1 client and 2 staff. LPA observed the administrator certificate for Whitley John - 6051966735 that expires on 04/18/25.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were deficiencies observed during the visit (Refer to LIC 809-D). Exit interview held and a copy the report and appeal rights were provided.