Facility Evaluation Report

On 08/09/2023, Licensing Program Manager (LPM) Ulysses Cornel and Licensing Program Analyst (LPA) Regina conducted an unannounced Case Management - Annual Continuation visit using the new CARE Inspection Tool. LPM and LPA met with administrator, Mae Maureen Torres and explained the purpose of today’s visit. The facility is licensed to serve four (4) adult clients of between the ages of 18 through 59, up to 4 clients can be Non-ambulatory. There are three (3) Harbor Regional Center clients in placement.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client rooms, four (4) bathrooms, an office, an activity room, a dining area and kitchen. There is an outside covered area in the front yard with ample seating.

LPA conducted a records review of (3) client records, (4) staff records, (3) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (3) Client Medication Administration Records and did not observe any discrepancies at the time of visit.

LPA and Administrator toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured within Title 22 guidelines. A comfortable temperature was maintained in the facility.