Facility Evaluation Report

At approximately 1:20PM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 year visit. Program Director, Adrian Fuentes, arrived during visit at approximately 1:35PM. 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 4 Clients in care and 8 staff members on-site.

At approximately 1:45PM, LPA reviewed the Facility's Staff Roster and found that one staff member (S1) was background cleared but not associated to the facility. Program Director immediately notified HR and S1 was associated to the facility during visit.

**Program Director understands that a Civil Penalty is not being issued today due to S1 being associated to facility during LPA's visit.**

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, 3 bathrooms, office spaces, 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. 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 2 of 5 sinks were out of Title 22 regulations of 105 to 120 degrees Fahrenheit, measuring at temperatures between 127.5F and 125.0F. Facility staff showed LPA their bi-weekly water temperature log, which indicated that the sinks in the facility were in compliance with Title 22 Regulation (see technical violation, regulation 81088(e)(1)).