Facility Evaluation Report

Licensing Program Analysts (LPA’s) Kelly Dulek and Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 8:53 a.m. The LPA’s were greeted by staff and informed them of the reason for the visit. Administrator Jennifer Enriquez, Chief Clinical Officer/LMFT Sharon Volner and Director of Operations/LVN Wendy McCain arrived shortly thereafter.

The LPAs along with the Administrator, Chief Clinical Officer and Director of Operations toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. Additional food supplies and emergency food supply is kept in the attached garage. The LPAs observed the entrance closet where all medications and sharps are kept locked and inaccessible. Client files are locked and inaccessible in the staff office. BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three (3) designated client rooms that are shared. There was a linen closet in the hallway with extra towels and linens. BATHROOMS: There are three (3) bathrooms for client use and one (1) for staff use that remains locked at all times. Client bathrooms are clean and sanitary and in operating condition. Bathrooms are sufficiently stocked with hand liquid soap and paper towels. Bathrooms were measured for hot water, the first bathroom measured at 117 degrees Fahrenheit at 9:30 a.m., the second bathroom measured at 106.4 degrees Fahrenheit at 9:37 a.m.