Facility Evaluation Report

Licensing Program Analysts (LPAs) Joseph Alejandre and Hanna Gough made an unannounced visit to conduct the required annual inspection. LPAs were greeted and granted entry by staff. LPAs met with Administrator (AD) Michael San Diego and explained the reason for the visit. The AD's administrator certificate expires on October 6, 2025. The facility is licensed as an Adult Residential Facility for 6 non-ambulatory clients. Facility is a single story house with 4 bedrooms, 2 bathrooms, kitchen, living room, dining room, and a detached 2 car garage. LPAs and AD toured the facility. LPAs observed bathroom 1 is clean and operational, hot water measured 120.2 degrees Fahrenheit. LPAs observed bathroom 1 is missing the window screen. LPAs observed bathroom 2 is clean and operational. Bathroom 2 does not have an outside window. LPAs toured the client bedrooms. All client rooms were clean and organized. All client rooms had the required bed linens and furnishings. LPAs and AD toured the kitchen. LPAs observed the kitchen is clean and organized. LPAs observed knives are kept locked in the kitchen drawer and cleaning supplies are locked under the kitchen sink. LPAs observed that 3 out of the 4 burners on the gas stove do not light unassisted. LPAs observed a 2 day perishable and 7 day non-perishable food supply on hand in the kitchen. LPAs observed that the fire extinguisher is in the kitchen and fully charged. Smoke detectors/carbon monoxide detectors tested operational. LPAs inspected the first aid kit and had all the required elements. The last fire drill was conducted on December 9, 2024. LPAs observed night lights in the hallway. LPAs observed the fireplace in the living room is inaccessible because there is a couch in front of the fireplace. The AD reported that the fireplace is never used. LPAs and AD toured the backyard and garage. The north exit gate is operational. There is a shaded patio with chairs and a bench for clients to sit outside. No bodies of water were observed in the backyard. The garage is kept locked and used for storage. No obstacles or hazards were observed in the backyard. LPAs reviewed 6 client files, no discrepancies observed. LPAs reviewed client medications. LPAs observed, Client 1(C1) was missing 5 out of 7 PRN medications, acetaminophen 325 mg, albuterol HFA 90 MCG inhaler, Ibuprofen 800 mg, loperamide 2mg, and milk of magnesia. No other discrepancies observed. LPAs reviewed 2 staff files.