Facility Evaluation Report

Licensing Program Analyst (LPA) Tuesday Cabiness, and Licensing Program Manager Troy Agard, along with Regional Center staff, Royce Remelius (Community Services Specialist), Xochitl Aragon (Quality Assurance Supervisor, Ari Stark (Quality Assurance Specialist), and Venus Rodriguez-Khorasani, M.A.Ed. (Community Services Manager) , conducted an annual inspection. Everyone arrived at the facility at 9am and met with LaQuencia Davis the Administrator. Shortly after, the Regional Director Cesar Gomez arrived during the inspection. The current census is (1). During the visit, LPA did not observe any licensing regulation postings throughout the visit. LPA was informed, due to the client’s behavior, the facility is unable to keep them on the walls.

A physical plant tour of the facility inside and outside was conducted with Administrator, LPA, LPM, and Regional facility staff. The following common areas: living, dining, kitchen, resident bedrooms, and bathrooms were inspected to ensure the facility was in compliance with Title 22 Regulations:

Kitchen: LPA observed a Licensing requirement of (7) day nonperishable, and (2) perishable, with extra refrigerator stocked with food, in the garage. Food was properly wrapped, and appliances were functional, clean, and in good repair. Chemicals, household supplies, and knives, that are stored in the kitchen and locked and stored in the garage. Living/dining: All indoor passageways were free from obstruction; inside temperature was comfortable, with adequate lighting, and all areas were clean and appropriately furnished for resident’s comfort. Bedrooms: The facility has (4) bedrooms. All bedrooms were properly furnished and supplied with appropriate bedding and linens. There were sufficient linens observed and available . Bathrooms: There are (3); all were clean, with soap and towels. Hot water measured at 106.0. degrees Fahrenheit. Surrounding Grounds: There were no visible hazards; passageways were free from obstruction and gates were easily accessible to open. There was no swimming pools or other bodies of water. All exit doors have alarms; all were operating.