Facility Evaluation Report

On 07/02/2024 Licensing Program Analyst (LPA) Mario Leon conducted an unannounced annual required visit using the CARE Inspection Tool. LPA was met by Maria Varcelo, Direct Support Professional (DSP) and the purpose of today’s visit was explained.

The facility is licensed to operate for (3) non-ambulatory developmentally disabled or Mentally Ill adults ages 18 through 59. Currently, the home has one (1) non-ambulatory clients. The clients are vended by Harbor Regional Center.The facility is a single-story structure located in a residential neighborhood. It consists of the following: three (3) resident rooms, two (2) bathrooms, living area, dining area, kitchen, and outside shaded area with table and chairs.

LPA and DSP toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed, plenty of dresser and closet space was observed. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. Shower was free of mold/mildew, with adequate lighting and sufficient toiletries accessible to clients was observed. The water temperature properly measured between 105F°-120F° degrees, within title 22 regulations.

Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Carbon monoxide/Smoke detectors were observed and operational. Fire extinguishers were fully charged as of 12/11/2023, toxins and knifes were locked and inaccessible to clients. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. Last facility disaster drill was conducted on 02/19/2024. LPA reviewed the facility disaster plan and the facility disaster plan was current and in compliance with Title 22, at the time of today's visit.

LPA did not conduct a records review of client records, nor staff records. Due to time constraints, LPA chose to conduct further records review at a later date.

During today's visit, there were two (2) deficiencies cited, please see LIC809D.

An exit interview was held with Maria Varcelo, DSP, and a copy of the facilities' appeals rights and this report was provided.