Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA explained the reason for the visit. LPA and staff toured the facility. Administrator Augustine Au arrived during the visit. Facility is a single story home with 6 bedrooms, 2 bathrooms, kitchen, dining room, great room and an attached 2 car garage. LPA observed the fireplace in the dining room is screened. LPA observed all bathrooms are clean and operational. Hot water measured 109.5 degreed Fahrenheit in all bathrooms. LPA observed all client bedrooms had the required furnishings. All client bedrooms had the required linens and bedding. All client bedrooms had a working smoke detector. All smoke detectors and carbon monoxide detectors tested operational. The fire extinguisher in the kitchen is fully charged. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the medication is kept locked in a kitchen cabinet. Knives are kept locked in a kitchen drawer. Cleaning supplies are kept locked under the kitchen sink. LPA observed the great room had a TV and plenty of room for clients to do activities. LPA and staff toured the backyard. No bodies of water observed. There are 2 sheds in the backyard. Both sheds are kept locked and used for storage. Both exit gates on each side of the house are operational. There is a shaded patio area in the backyard but there are no chairs and no table for clients to sit outside. No obstacles or hazards observed in the backyard. LPA reviewed client files. LPA observed that 6 out of 6 client files did not have an admission agreement. All 6 clients had the Regional Center of Orange County (RCOC) service agreement. No other discrepancies observed. LPA reviewed 5 staff files, no discrepancies observed. All staff are background cleared and associated to the facility. LPA reviewed client medications, no discrepancies observed. LPA reviewed client P & I monies. LPA observed, 6 out of 6 client ledgers for bank account balance did not match the bank statement. The last fire drill was conducted on June 5, 2024. No obstacles or hazards observed in the facility. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.