Facility Evaluation Report

Licensing Program Analyst(LPA) Mary Flores conducted an unannounced annual visit using the CARE inspection tool. LPA met with Lillie Miles and explained the reason for the visit. Administrator arrived shortly after.

The facility is licensed for 6 ambulatory Developmentally Disabled clients between the ages of 18-59. The facility is vendor through Frank D. Lanterman Regional Center as a level 3 home. Facility is a two story residential house with (4) client bedrooms, (2) bathrooms, staff room, living room, dining room, kitchen, front covered porch patio, back yard, laundry room, office, and storage room.

LPA conducted a tour with Lillie Miles and observed the following:

Facility is in good repair indoor and outdoor. Living room/dining room were observed to have sufficient furniture. Kitchen was observed clean and in good repair. Sufficient supplies were observed for at least 2 days of perishables and 7 days of non-perishables. Medication cabinet was locked, sharps are stored in staff's room. Cleaning supplies were observed under the sink inaccessible to the clients. Four client rooms were observed to have sufficient lighting, required furniture, and bedding supplies. Additional linens were observed stored. Two bathrooms were observed clean, in good repair, and water temperature was tested between 108.3 - 113.1 degrees F. which is within the required 105-120 degrees F. Smoke/Carbon monoxide detectors were tested and are in working condition. Fire extinguishers were observed. Front porch has a covered sitting area. No large bodies of water were observed. Passageways and stairways were observed clear of debris.

Medication, and files were reviewed for 5 clients. Four staff flies were reviewed.

Administrator certificate #6022230735 exp. date: 4/16/26 was observed. HIV/TB test was observed for administrator taken within the last two years.