Facility Evaluation Report

On 06/21/23, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with house manager Sarita Genus as the purpose of today’s visit was explained. The facility is licensed to serve two (2) ambulatory and two (2) non-ambulatory developmentally disabled adults ages 18-59. Residents are linked to the Westside regional center.

The facility is a single-story structure located in a residential neighborhood and consists of the following: four (4) resident bedrooms, one (1) staff bedroom (1) resident bathroom, living area, staff work area, dining area, kitchen, laundry area, an outdoor activity area, an outside covered patio area and an attached garage that houses a pantry, staff refrigerator and stores resident belongings.

LPA conducted a records review of one (1) staff record, two (2) resident records and two (2) Medication Administration Records, LPA did not observe any discrepancies at the time of visit. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire drill was conducted on 06/08/23, two (2) fire extinguishers fully charged, carbon monoxide detectors observed, smoke detectors are working properly, and a landline was observed.

All resident rooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathrooms were found to be within Title 22 regulation, toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to residents. The water temperature properly measured between 105-120 F..

Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Toxins and