Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 09/26/2023. LPA Ramirez was met by Administrator Dela Cruz and explained the purpose of the visit. The facility is licensed serve six (6) developmentally disabled clients 18-59 years old. LPA Ramirez requested and obtained copies of Personnel Report (LIC 500), and Client Roster (LIC 9020). All clients in the home receive services from Frank D. Lanterman Regional Center.

LPA OBSERVATIONS: Tour began at 11:35 am and was led by Administrator Dela Cruz. The facility is a single-story building located in a residential area with four (4) client bedrooms, one (1) staff office, three (3) bathrooms, kitchen, dining room, living room, detached garage, front yard, backyard.

Front Yard: LPA Ramirez observed roofers on the roof of facility upon arrival. LPA Ramirez observed several planks plywood with nails attached in a pile. LPA Ramirez observed a ladder reaching to the roof area blocking facility door entrance. LPA Ramirez will issue two (2) Technical Violations based on observations. Facility will instruct clients, staff and visitors to use facility side entrance until debris has been removed. Although facility roof is in disrepair, facility was aware and made attempts to repair roof but local code enforcement was delaying final approval of permit.

Kitchen: LPA Ramirez observed appliances to be 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 in kitchen cabinet, to be inaccessible to four (4) out of four (4) clients in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to four (4) out of four (4) clients in care. LPA Ramirez observed a fully charger fire extinguisher nearby. Kitchen sink water temperature was measured at 109.1 degrees F.

Dining Room/Living room: Dining room was observed to be clean and contained one table with plenty of seating. Living room was observed with plenty of lighting. LPA Ramirez observed a fully charged fire extinguisher nearby. LPA Ramirez observed signage promoting cough and handwashing etiquette in this area. LPA Ramirez observed nearby thermostat to read 71 degrees F.

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