Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Staff Jamal Hasankhil and explained the purpose of the inspection. Chief Commercial Officer (CCO) Peter Hilen arrived at 1:00 p.m. During the inspection LPA and Staff Hasankhil 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. There is a therapy room and staff office detached from the main house. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. LPA observed all windows were screened. The courtyard has a shaded sitting area. LPA observed one client present at the facility in the process of being admitted. Per staff, all other clients were away at the gym. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 118.4 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. 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, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. The medication cabinet was observed to be locked in the staff office. LPA reviewed five client files and two staff files. Clients were not present to be interviewed. LPA interviewed staff present.

Based on the observations made during today’s inspection, no 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.