Facility Evaluation Report
Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility to conduct an unannounced Required 1 Year Inspection. At 2:00 pm, LPA was greeted and granted entry by House Manager Marialourd Taylor. Assistant Administrator Michael San Diego joined the inspection at approximately 2:15 pm.
Structure: The facility is a one-story home with three shared resident bedrooms, 2 bathrooms, living room, kitchen, dining room, staff bedroom, backyard and detached two car garage. The garage is only accessible via the large remote-operated garage door. The backyard has one exit gate. There is one shaded seating area in the backyard. House Manager showed LPA the facility’s garden, which Residents participate in maintaining. LPA did not observe any obstacles or hazards in the backyard.
Client Bedrooms: All resident bedrooms had the required furnishings. LPAs observed all resident beds had linens and blankets. LPA observed all windows were screened.
Toxins: All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to client and will be stored and locked beneath the kitchen sink.
Medication will be stored in a locked cabinet in the living room. First aid kit is stored with the medication. The first aid kit has all the required elements.
Resident & Staff Files: Records will be kept locked in storage cabinet located in the living room. LPA reviewed the AD file, 3 staff files and 3 client files.
Fire Extinguisher: The fire extinguisher is fully charged.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction