Facility Evaluation Report

At approximately 12:15PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 year visit and met with Program Director, Adrian Fuentes. 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 6 Clients in care and 4 staff members on-site.

At approximately 12:25PM, LPA reviewed Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. 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. 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 and nonperishable foods as required by Title 22 Regulations. Hot water temperatures for all sinks in facility were observed to be out of compliance with Title 22 regulations of 105 to 120 degrees Fahrenheit, measuring at temperatures between 126.2F and 132.9F. LPA observed that all sinks had appropriate signs indicating that facility water has temperatures that exceed 125F or higher, per regulation 81088(e)(2).

LPA reviewed staff and client files and client medication. All files were all found to be well organized, thorough and contained the required documentation. Staff files had current First Aid and CPR certification. Medication was centrally stored and secure. Facility's fire extinguishers were last inspected May 2024. Facility's last emergency/disaster drill was conducted April 2025. Facility's smoke/carbon monoxide detectors were tested and operational.