Facility Evaluation Report

On 1/25/2024 Licensing Program Analyst (LPA) Alfonso Iniguez conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Cherry Brewer /House Manager and the purpose of today’s visit was explained. The facility is licensed to operate for (4) developmentally disabled or Mentally Ill adults ages 18-59 of which (2) may be non-ambulatory and (2) bedridden.Approved hospice waiver for (4). Currently, the home has (4) clients. The clients are from: Harbor Regional Center. (0) clients have Restricted Health Care Conditions, and (3) are utilizing postural supports or protective devices. The staff to client ratio: 1-2.

The facility is a single-story house with four (4) bedrooms, three (3) full bathrooms, an office, living room, dining room, office space, kitchen, pantry and attached garage and patio with shaded area.

LPA Iniguez and house manager toured the inside and outside of the facility. All client rooms were checked. Mattresses and box springs were in good condition, adequate lighting was observed, plenty of dresser and closet space was observed. Bed linens, comforters and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly. The shower was free of mold/mildew, there is adequate lighting, and sufficient toiletries accessible to clients. The water temperature properly measured between 105F°-120F° degrees (Kitchen 109.4F°, Bathroom #1 109.5°F and Bathroom #2 111.5°F ).