Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA arrived at the facility, rang the doorbell and knocked on the door. After receiving no response, LPA walked the perimeter of the facility and did not observe anyone present. LPA contacted Licensee Malia Quezada by phone and explained the purpose of the inspection. Administrator (AD) Joshua Quezada was contacted and arrived at 9:15 a.m. During the inspection LPA and AD conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, garage and observed the following:

This is a one-story home with three client bedrooms and two bathrooms. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. LPA observed all windows were screened. The back yard has a shaded sitting area. LPA did not observe any clients present at the facility, as all were away at day program. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 120.1 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Appliances were all inspected. Sharps were observed locked in a kitchen cabinet. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be locked. LPA reviewed three out of three client files and observed all three files were missing a Physician Report (LIC602); a Deficiency was cited on today's date. LPA reviewed two staff files and observed both files were missing Health Screenings (LIC503); a deficiency was cited on today's date. Clients were not present to be interviewed.

Based on the observations made during today’s inspection, two deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted, and a copy of this report was left at the facility.