Facility Evaluation Report

On 06/29/2024, Licensing Program Analyst (LPA) Antonine Richard, conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with Spencer Croasdale Program Supervisor, and explained the purpose of today’s visit. The facility is licensed to operate for four (4) non-ambulatory developmentally disabled clients of between the ages of 18 through 59. Currently, the home has (4) clients. The clients are Harbor Regional Center clients. One of the four clients have a Restricted Health Care Condition and none are utilizing postural supports or protective devices.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, two (2) bathrooms, a living area, a dining area, and kitchen. There is an outside patio area with ample seating and an umbrella used for shade. The laundry area is a room with a door and locked cabinets. There is a detached garage used for storage only.

LPA conducted a records review of (4) client records, (5) staff records, (4) clients Personal & Incidental Records and reviewed the facility disaster plan. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (4) Client Medication Administration Records and did not observe any discrepancies at the time of visit.