Facility Evaluation Report

Licensing Program Analyst (LPA) Nancy Guillen is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator (AD) Tiffany Canlas was notified via telephone and later arrived to assist with the inspection. LPA observed Administrator certificate is current with an expiration date of March 3, 2028. This is an Adult Residential Facility licensed for six clients of which 2 may be non-ambulatory. Currently four clients reside at the facility. LPA was notified that three clients were away at day program and LPA observed one client leave with a caregiver to run client errands.

LPA began the tour of the inside and outside of the facility and observed the following:

This is a one story facility with three client bedrooms, one staff room, two bathrooms, a living room, dining room, kitchen, and an attached garage with an exterior entrance. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the garage. LPA observed knives and sharps to be stored in a locked filing cabinet outdoors as you exit the kitchen. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked filing cabinet located in the living room. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care.