Facility Evaluation Report

At approximately 9:10AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 year visit. Program Director, Adrian Fuentes arrived during visit at approximately 9:35AM. Facility is a Short Term Social Rehabilitation home that provides care and assistance to Adults with Mental Health diagnoses. Facility has an approved fire clearance and capacity for 6 Ambulatory Clients. Upon arrival, LPA was informed that there were currently four Clients in care with all clients out of the community attending an activity and 2 staff members on-site.

At approximately 9:45AM, LPA reviewed the Facility's Staff Roster and found that one staff member (S1) was not background cleared or associated to the facility per regulation (this deficiency has been cited, see LIC809D, regulation 81019(e)) . Program Director immediately informed S1 to leave the premises. LPA conducted a walk-through of the facility with Program Director and observed the following: Facility is a one story home with 2 single bedrooms, 2 shared bedrooms, 4 bathrooms, an office space, and common areas. Facility has a swimming pool on site. Per conversation with Program Director, if clients want to use the swimming pool, there is at least one staff member supervising. Facility was clean and at a comfortable temperature with all exits free from obstruction. Facility has an Infection Control Plan on file. Bathrooms were equipped with necessary grab bars, and non-slip mats were present. Toxins were secure and inaccessible to clients. There was a sufficient supply of hygiene products, paper products, and linens available for client use. Mattress pads were in place or available for client use. There was a sufficient supply of perishable foods as required by Title 22 Regulations. Per Program Director, the facility has their meals delivered from an off-site location. LPA and Program Director discussed having at least 7 days of non-perishable foods available for clients (see LIC9102, Technical Advisory, Regulation 81076(d)(1). Hot water temperatures for all sinks in facility were observed to be outside of Title 22 regulations of 105 to 120 degrees Fahrenheit, measuring at temperatures between 127F and 135F. LPA observed that all sinks had appropriate signs indicating that the water has temperatures that exceed 125F or higher, per regulation 81088(e)(2).

Facility's fire extinguishers were last inspected May 2024. Facility's last emergency/disaster drill was conducted December 2023 (See LIC9102, Technical Violation, Health and Safety Code 1565(c)). LPA reviewed staff and client files, and client medications. Facility does not manage P&I monies for clients. All Files were all found to be well organized, thorough and contained the required documentation. Medication was centrally stored and secure.