Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted an unannounced required-1 year inspection focusing on the CARE tools. LPA Vaid met with Administrator Herminia Dela Cruz and discussed the purpose of today's visit. This single story home is located in a residential neighborhood and has five (5) bedrooms of which four (4) are used as clients bedrooms and the 5th room is the Administrator’s office/lounge, two (2) full bathrooms, a living room, family room, kitchen, dining area, office, backyard, and detached garage, the basement houses the water heater and furnace. The facility cares for intellectually disabled adults and is vendorized by Frank D. Lanterman Regional Center. Currently, there are four (4) ambulatory clients residing at the home. All clients are at day program and could not be interviewed. The Administrator's standard certificate is expiring 10/21/2024. Annual fee is due $454.00, pin number was provided the facility will make the payment today. Infection Control Plan has been submitted to CCLD.

LPA and the Administrator toured the facility. The following was observed/inspected:

All client bedrooms were toured. Each room contained required furniture including bed, dresser, night stand, lamp, chair, and closet. All beds contained the required linens including mattress cover, fitted sheet, flat sheet, blanket, and comforter.

Bathrooms are clean and operational and were observed to be within regulations. Toilets and water faucets worked properly. Shower was free of mold/mildew and adequate lighting. Bathrooms contained supplies including liquid soap, toilet paper, and paper towels.

Hot water temperature was checked and read 106.9 deg. F in bathroom #1, 107.5 deg. F, bathroom #2, and 111.6 deg. F, and the kitchen sink which are within the required 109.4 degrees.

Kitchen was inspected and LPA observed sufficient perishable and non-perishable food.

All the appliances are clean and are operating properly. There is a 2nd refrigerator/freezer in the storage/laundry room with additional food supplies.

Knives and other sharp items are stored and locked in a kitchen cabinet which are inaccessible to clients.