Facility Evaluation Report

Licensing Program Analyst conducted an announced pre-licensing visit on this day.

The facility is a four-bedroom, single-story home licensed to care for four ambulatory clients. LPA was greeted upon arrival and confirmed that COVID screening protocols are in place at the facility.

LPA utilized the Adult Residential Facility (ARF) Prelicensing inspection tool to verify compliance with all inspection domains. The facility's common areas and bedrooms/bathrooms were clean, well-furnished and functional. Facility appliances were in working condition, hot water temperature measured between 105 and 120 degrees, and appropriate storage areas were present for cleaning supplies, medications and other hazardous materials. At 11:00 a.m. the administrator removed some cleaning agents from the unlocked outdoor shed to the locked facility garage.

No other deficiencies observed, or corrections required at this time.

Administrator completed component 3 already in the Woodland Hills Regional Office in 2019, it is waived for this visit.