Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 07/29/2023 at 11:21 am. LPA was met by Staff #1 (S1) and explained the purpose of the visit. Administrator Maria Carlos arrived to the facility soon after. The facility is licensed serve developmentally disabled clients 18-59 years old. All clients receive services from Frank D Lanterman Regional Center. LPA Ramirez requested and obtained copies of Personnel Report (LIC 500), and Client Roster (LIC 9020).

LPA OBSERVATIONS: Tour began at11:27 am and was led by S1. The facility is a single-story building located in a residential area with three (3) client bedrooms, two (2) bathrooms, kitchen, dining room, living room, front yard, backyard, and detached garage.

Front Yard: Was clean and well maintained. No hazards were observed.

Kitchen: LPA Ramirez observed appliances to be clean and in working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located kitchen cabinet, to be inaccessible to three (3) out of three (3) clients in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to three (3) out of three (3) clients in care.

Dining Room/Living room/Den: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed plenty of seating and lighting. LPA Ramirez observed fully charged fire extinguisher in dining room closet. Den was observed to be clean and contain plenty of seating and lighting.

Linen Closet: Contained plenty linens, towels, and hygiene products.