Facility Evaluation Report

Licensing Program Analysts (LPAs) Erik Zaragoza and Daniel Konishi conducted an announced Pre-Licensing visit. LPAs met with Administrator Crystal Alegre and Quality Assurance supervisor Claudia Lujan and was granted entrance to the facility. LPAs explained the purpose of the visit as well as to conduct the Component III. This Pre-Licensing Inspection is due to change of ownership.

The facility has an approved fire clearance to be licensed to serve four (4) total clients, of which all four (4) may be bedridden. The facility is a single-story home located in a residential neighborhood in the city of Whittier. The facility consists of a dining room, living room, kitchen, four (4) client bedrooms, a laundry room, and two (2) client bathrooms which had a hot water temperature reading of 105.4 and 105.2 degrees Fahrenheit respectively, as well as a back yard with shaded area and a detached garage.

The following was inspected during the evaluation with the Program Center Director and determined to be compliant with Title 22 Regulations. A locked storage area for central storage of medications was observed in one of the main hallways of the facility. Cleaning supplies are kept separate from food supplies and are stored in the locked supply closet which is located in the laundry room of the facility. The walls, ceilings, floors, window screens and areas around the facility were clean and in good repair. Three (3) fire extinguishers were located throughout the facility. The carbon monoxide and smoke detector was observed to be operational. Doors, exits, hallways, and passageways were clear and free of obstruction. The front and back areas of the facility were observed to be clean and free of debris.

No pools or bodies of water were observed in or around the facility. An operating telephone was observed on the premises, which is easily accessible and available for resident use. The refrigerator was observed to be operable at 41 degrees and freezer below 0 degrees. The first-aid kit was reviewed and is kept locked in a main hallway of the facility.