Facility Evaluation Report

Licensing Program Analysts (LPAs) Christine Wong and Tena Herrera conducted an unannounced annual required visit. LPA's met with Administrator Mercedez and Daniel Corpuz and explained the reason for the visit. LPA's used the infection control tool to evaluate the facility. LPA's observed the facility plant, COVID-19 procedures, reviewed clients'' medications, observed food supply, and reviewed client and staff files.

The facility is a single story house and located in a residential neighborhood area. The facility includes: Living room, dining area, kitchen, three clients bedrooms, one client bathroom, one live in staff room and a detached garage. All 3 clients bedrooms were toured. Each bedroom has two beds, two dresser, two night stand, required bed linen and furniture and sufficient lighting and closet space. The client bathroom is clean, sanitary and in a good working condition. The hot water temperature was tested in the client bathroom is 114.9 degrees F which is within Title 22 regulation. The kitchen cabinet and refrigerator in the garage and house has 2 days perishable and 7 days non perishable food supply. All the appliances in the kitchen are clean and working properly. The common area such as living room and dining area have the required furniture. The front and back yard are maintained well. The back yard has a shaded area with table and chairs for client to utilize. LPAs also inspected the smoke detector and they are all working probably,

LPA's reviewed 5 resident files to confirm emergency contact is updated. LPA's also reviewed 2 staff files to confirm health screenings and fingerprint clearances. Their health screening are updated on their personnel files and they are all fingerprint cleared too. LPA also inspected 5 clients' medication and they are all centrally stored in the kitchen cabinet and inaccessible for the clients and all seemed updated and accurate.