Facility Evaluation Report

On 02/01/2024 Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility above to conduct a Case Management - Legal/Non-compliance visit and inspection of the facility to ensure facility compliance. LPA met with Administrator Jessica Hernandez and explained the reason for the visit. On January 17, 2023, a Non-Compliance Conference (NCC) was held at the Woodland Hills Regional office. As a result of that NCC, the facility was placed on a two year compliance plan.

At 8:50 am LPA Casillas was granted entry by a staff member. Two (2) clients were in their rooms and two (2) clients were out in the community. Administrator arrived at 10:00 am.

At 9:00 a.m., LPA and a staff member took a tour of the physical plant.

Today’s focus was infection control, administrator certification, training for staff, and sufficient staffing for supervision.

Kitchen: The kitchen was clean and clear of clutter. LPA observed a two day supply of perishable and a seven day supply of non-perishable food at the facility; properly stored. LPA observed sharps or knives properly stored in a locked kitchen cabinet inaccessible to clients in care. Properly labeled medications were locked in one of the kitchen cabinets. The fire extinguisher is in the pantry and was observed fully charged with last service date 11/13/2023. Hot water temperature was measured at 115.0 degrees Fahrenheit.

Bedrooms: There are five (5) bedrooms, four (4) of which are designated for client use. All the bedrooms were properly furnished with appropriate bedding, linens, a chair, and sufficient lighting.