Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit for the purpose of conducting a Required - 1 Year inspection. LPA was greeted and granted entry by Direct Support Professionals (DSP's) Kathleen Cheng and Gloria Soriano and LPA discussed the purpose of the visit. Administrator (AD) Dante Benedicto was contacted by phone but was not available to join LPA. LPA and DSP's conducted a tour of the inside and outside of facility, common areas, client rooms, kitchen, garage and observed the following: LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. The back yard has a shaded sitting area. LPA observed two staff and three clients present. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Hot water temperature was within regulatory requirements. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted at the entrance of the facility. Food menu was also posted and visible. 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 and mounted. Stove burners, microwave, washer, and dryer were all inspected. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication was observed in a centrally stored location inaccessible to the clients and medication reviewed appeared to have been dispensed accurately. LPA reviewed three client files and two staff files. All three facility clients and both staff present were interviewed. P & I money was not available for review. No documentation of Fire Drills being conducted was available for review. As of today, the Annual Licensing fees are due. As a reminder, LPA provided staff with a copy of the most recent billing for annual fees due to be paid.

Based on the observations made during today’s inspection, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. see LIC809D. An exit interview was conducted, and a copy of these reports, along with Appeals Rights was sent to email on file.