Facility Evaluation Report

Licensing Program Analyst (LPA) Contreras arrived unannounced to conduct a required annual inspection and was greeted by Administrator (admin) Ronald Berliner. Facility is an Adult Residential Facility with a fire clearance approved for capacity of six clients. There are currently six clients in care. All were attending day program during visit.

LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed inside facility. All required postings were in a highly visible area. . All bedrooms found to have required furnishings. Water temperatures in client accessible bathrooms read within the allowable range of 105 to 120 degrees F per Title 22 Regulations. Bathroom observed to have urine throughout floor, admin ensured floor was cleaned during visit (Technical Violation given). LPA observed a supply of clean linens, hygiene, and paper products available for clients. Facility lacked at least a 2-day supply of perishable and 7- day supply of non-perishable food and water as required by Tittle 22 Regulations (Deficiency cited, see 809D). Facility kitchen, refrigerators and freezers were clean. Toxins are stored in a locked and inaccessible to clients. Emergency food and water observed. Fire extinguishers were charged and last inspected up to date. Carbon and fire alarms were tested and operational. Disaster Drills are recorded and conducted quarterly . First aid kits observed. ADA chair tested and operational. Evacuation chair available.

LPA reviewed 4 client records. All documentation was present and up to date.

LPA reviewed 3 staff records. All required documentation was up to date.