Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon and Erike made and unannounced visit to conduct the Annual inspection focused on domains within the Compliance and Regulatory Enforcement (Care) Tools. Upon arrival LPAs met with DSP worker Latrina Brown.

LPA Calderon and Zaragoza along side with Ms.Brown used Care Tools and conducted a tour of the facility. Tour consisted of living room, kitchen, dining room, 2 bathrooms, 3 client bedrooms, backyard and attached garage.

LPA Calderon interviewed (3) clients, (1) staff interviews, 1 staff present at the facility at the time of visit.

The following was conducted and inspected:

Outdoor and indoor passageways are free of obstruction.

Hot water measured between Title 22 regulations, read 114.7 F.

Smoke detectors and carbon monoxide were tested and operable.

Fire extinguisher located in kitchen, fully charged and serviced.

Sufficient supply of extra linen and towels stored inside the hallway cabinets.

Personal hygiene supplies located in kitchen cabinet.

Facility temperature for clients was maintained at comfortable temperature.

Washer/Dryer appliances observed in garage.

Backyard has shaded area for clients, no large bodies of water was observed.