Facility Evaluation Report

On Monday, October 30, 2024 at 8:28am, LPA Zina Brown made an 2nd unannounced visit.

At 8:24 am Jewel Smyth, text LPA Brown to inform her she is currently at her facility in Victorville facility conducting meetings. LPA Zina Brown will attempt to conducted an unannounced visit at a later date.

On 11/20/2024 at 8:53am, Licensing Program Analyst (LPA) Zina Brown conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with the Jewel Smyth (Administrator) and the purpose of today’s visit was explained. The facility is licensed to operate for (4) ambulatory, adults ages 18 through 59 with developmental disabilities. Currently, there are zero (0) residents residing at the facility. The facility fees are a currently balance $0. The General Liability Policy #C1GP505444 is valid from 01/27/2024 to 01/27/2025 by Amguard Ins. Co coverage for 1,000,000/3,000,000.

The facility is a one story home located in a residential neighborhood. The property consists of the following: (2) client bedrooms, (1) common bathrooms, living room, kitchen with a washer and dryer, dining room, and an outdoor shaded area.

At LPA conducted a records review of (0) client records, (0) staff records, (0) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (0) Client Medication Administration Records as no residents currently resident at the facility and did not observed any discrepancies at the time of visit.