Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced annual visit at the facility using the CARE Tool. LPA Trueman met with Administrator Nayeli Nolasco and explained the reason for the visit. The facility is licensed to serve 5 ambulatory developmentally disabled adult clients. The facility is operating within the scope of its license.

A tour of the single-story facility included the living room, kitchen, dining area, 5 client bedrooms, 3 bathrooms, laundry area, front yard, backyard, and detached garage. During the tour the following was observed: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables. Sharps were observed locked in a kitchen cabinet. Chemical and cleaning solutions are kept locked under the kitchen sink. The First Aid kit is kept in the medication cabinet and it is fully stocked with all required items including a current manual. Clean towels and extra clean linen were observed in the hallway cabinet. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in a medication cabinet located in the kitchen. Client files are kept in a kitchen cabinet. All bedrooms have all required furniture, lighting, and bedding. All bathrooms were observed with shower mats. The water temperature was tested in all bathrooms and measured at 106 degrees F, which is within the required 105-120 degrees F. Two fire extinguishers were observed in the kitchen and hallway and are is fully charged. Smoke detectors combined with carbon monoxide were observed throughout the facility and in each room and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction. LPA reviewed medication and observed that medications are documented properly and given as prescribed. LPA reviewed files for 2 clients and 5 staff.

Per California Code of Regulations, Title 22, and California Health and Safety Code, there were no deficiencies observed during the visit. Exit interview held.