Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen conducted an unannounced Annual Required 1 yr. inspection to this facility and was welcome by staff Editha Bulalacao, house manager, Willie Hogan was notified and arrived shortly after, Administrator was unavailable at time of visit. One client was leaving for day program and one is at rehab facility at the time of the visit. There are 3 clients in the facility.

LPA toured the facility on 8/8/2023 at 8:30 AM with house manager Willie Hogan, facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 7/21/2023 at the time of the visit. Facility smoke detectors were found to be functioning properly at the time of the visit, facility did not have a carbon monoxide detector at 9:05 AM (see LIC809D). Hot water temperature measured between 114.8 degrees F and 121 degrees F falling out of Title 22 acceptable regulation of 105 to 120 degrees F in 1 of 2 client’s bathrooms while touring facility on 8/8/2023 at 8:50 AM (see LIC809D). There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked cabinet inside the facility garage. Dangerous/sharp items were stored in kitchen cabinet that was observed unlocked at time of visit on 8/8/2023 at 8:40am (see LIC 809D) accessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. The bathroom designated for clients at the facility were supplied with individual paper towels; hand soap dispenser was available. All client’s bedrooms have lighting & appropriate furnishings, and beds were outfitted with mattress pads as required by Title 22 Regulations # 85088(c)(4) on 8/8/2023.