Facility Evaluation Report

On 11/09/23, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Director Linda Walkiria as the purpose of the visit was explained. The facility is licensed for four (4) non-ambulatory clients ages 18-59 with developmental disabilities. Hospice waiver approved for (1). Current facility census is (4). Clients are linked to the Harbor Regional Center.

The facility is a single-story structure located in a residential neighborhood and consists of the following: (4) client bedrooms, (2) client bathrooms, living room, dining room, family room, kitchen, an office , attached garage with washer and dryer/ storage area, backyard with a shaded seating area. No weapons nor bodies of water on the premises. A supply of perishable and non-perishable food was observed. Emergency Water supply is found in the garage. Toxins and knifes were observed to be stored and inaccessible to clients. Exits and walkways are free of debris/hazards. 1 fire extinguisher located in the kitchen, 1 located in the garage.

Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F..

LPA conducted a records review of 2 staff records, 2 client records, and 2 medication administration record. No discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 11/03/23, carbon monoxide and smoke detectors observed and are operational. Landline and internet were observed. During today’s visit no discrepancies were observed.

Exit interview conducted with Director Linda Walkiria, and a copy of this report was provided.