Facility Evaluation Report

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. Upon arrival LPA met with Administrator Badung Baget and explained the reason for the visit. This facility is a Regional Center Level 3 home. At the time of the visit there have been no clients admitted and no staffing.

The facility is One story. At 8:30am LPA 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. An approved fire clearance was received, clearing them for (2) non-ambulatory residents; (1) ambulatory residents; and, (0) bedridden residents. The facility has (4) private bedrooms, Room #1 is approved for Non – Ambulatory and has a direct exit to the outside. Rooms #2 and 3 are both private and do not have a direct exit to the outside. Room #4 is a designated staff room and LPA observed it to be empty at this time.

All resident rooms are set up with beds, nightstands, lamps, chests of drawers, chairs and closet space. The beds are furnished with box springs, comfortable mattress and clean linen; which includes, a mattress pad, top and bottom linens, pillowcases, blanket (if needed) and a bedspread. Lighting in the rooms appeared adequate. The bedrooms were large enough to allow for easy passage between the beds and furniture with a wheelchair or walker. In addition, no bedroom was used as a passageway to another room, bath or toilet. All rooms were free of odors. All window screens were clean and maintained in good repair.

There are (2) bathrooms in the common area. Bathroom #3 is designated as a staff restroom; The resident bathroom #2 has a shower with non-skid materials and mat. The toilet and shower have grab bars. The hot water temperature was tested in the bathrooms and the kitchen and was found to be within the range of 105*F and 120*F.