Facility Evaluation Report

Licensing Program Analyst (LPA) Pamela Bunker conducted an unannounced annual required visit with the primary focus on infection control measures and using the new CARE Inspection Tool. LPA Bunker met with House Manager Rickie Vernal and Staff Member Kian Pascual to explain the purpose of today's annual inspection. There are currently five residents in placement. The facility's annual fees are current.

The following 12 Domains will be observed and reviewed: Infection Control, Operational Requirements, Physical Plant & Environmental Safety, Staffing, Personnel Records/Staff Training, Resident Rights/Information, Planned Activities, Food Service, Incidental Medical and Dental, Resident Records/Incident Reports, Disaster Preparedness, and Residents with Special Health Needs. "LPA Bunker will be using this tool and methods that have been developed to improve the efficiency and accuracy of the Department of Social Services' facility inspections."

Mr. Vernal and LPA Bunker toured the facility. The facility is a single-story family home located in a residential neighborhood. Which consists of a living room, dining area, kitchen, 3 bedrooms, 2 bathrooms, laundry area in the garage, attached garage, and an indoor/outdoor activity area. A shaded area furnished with outdoor patio furniture, including tables and chairs. Bedrooms #1,3, 4, and 5 are designated as the resident's bedrooms. Bedroom #2 is designated for the living staff.