Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough arrived at the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Caregiver August Rebollar and discussed the purpose of the visit. Caregiver informed LPA that the Administrator is currently flying back to California and will not be able to come to the facility for the visit. The facility currently has six residents in care.

The facility is a one story home with six resident bedrooms, one staff bedroom, six bathrooms, kitchen, two living rooms, attached garage and backyard. Facility appears clean, safe and sanitary. LPA observed the resident bedrooms to have the required components and furnishings. LPA observed a fresh supply of clean linens in the closet by the front door. LPA observed the resident restrooms to have toilet paper, paper towels and textured shower flooring. LPA tested the water to be between 123.2-124.0 degrees Fahrenheit. LPA observed Caregiver turn the water heater down during the inspection. LPA observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day non perishable food supply on hand. LPA observed the toxins to be locked under the kitchen sink. LPA observed the knives to be locked in a drawer next to the kitchen sink. LPA observed the centrally stored medication to be in a locked cabinet located in the dining room. LPA observed the garage to store an extra food supply and toxins and chemicals on separate shelves. LPA observed the garage to be locked and made inaccessible to residents in care. LPA observed the backyard to be free of debris and obstructions. LPA observed an accessory dwelling unit (ADU) that is being used as a staff bedroom that was not observed on the fire clearance. A civil penalty was assessed at the time of the inspection. LPA observed a shaded seating area in the backyard for resident use. LPA and Caregiver tested the carbon monoxide and smoke detectors and they were found to be operational.