Facility Evaluation Report

License Program Analysts (LPA) Luis De Leon conducted an unannounced annual required visit. LPA met with residential counselor Cristian Cabaron who informed Administrator via phone of today’s visit. The purpose of today’s visit was explained. Administrator Segundino Gotladera joined the visit at 9:33 AM and assisted with visit. The facility is licensed to serve six (6) ambulatory clients only between ages of 18 and 59 years old. Clients are serviced by Frank D Lanterman Regional Center.

The LPA use the Compliance & Regulatory Enforcement Tool (CARE) during today’s inspection. The visit consisted as follows:

The facility is a single home located in a residential neighborhood and consists of (4) client bedrooms (2) client bathrooms, (1) staff bedroom with private full bathroom, a living room, kitchen, dining area, laundry room, a detached garage used for storage, a front porch, and a back yard. There was no body of water observed in the property.

Client record review consisted of Admission Agreements, Identification and Emergency Info, Physicians Report, Consent Report, Individual Program Plan, Personal Rights, and Centrally Store Medication. Client’s P&I money was reviewed for 4 clients. Staff record review consisted of Personnel Report, Health Screening, Fingerprint Clearance, Training, First Aid and CPR. LPA reviewed the emergency and disaster plan and infection control plan.