Facility Evaluation Report

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #1 at 8:00am. During today’s visit, LPA met with Melba Santos, Assistant Administrator (AA).

The facility is a level two single story building with an approved fire clearance of six ambulatory of which rooms three or four may be non-ambulatory . T he facility currently has a census of six clients in care.

During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in two of two client bathrooms, and testing auditory devices on all exits. The hot water temperature measured between 109.4 and 112.4 degrees Fahrenheit and all smoke detectors were operational . The fire extinguisher is charged and was serviced on January 23, 2024. The facility’s last fire drill was conducted on July 14, 2024 . LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand . LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed.

LPA reviewed three of three staff training and fingerprint records and a complete review of client records. Admissions Agreements are from Regional Center of Orange County for Title 17 but need Title 22 Admissions Agreements. Client P&I records were reviewed and were accurate. LPA interviewed alert clients regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that Assistant Administrator has an administrator certificate pending renewal which will expire on June 30, 2026.