Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Joan Baltazar. LPA discussed the purpose of the inspection and Administrator (AD) Michael San Diego was contacted by phone and arrived at 9:00 a.m.

During the inspection LPA and Staff Baltazar 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 five client bedrooms, two bathrooms, and one staff bedroom. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. LPA observed the back yard and front courtyard have a shaded sitting area. LPA observed one staff and one client present, as all other clients were away at day program. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 105.2 F degrees.

LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted at the entrance of the facility. Food menu was also posted and visible. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Facility does not have at least one internet access device dedicated to client use; a Deficiency was cited on today's date. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged. Stove burners, microwave, washer, and dryer were all inspected. Sharps were observed locked in a kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be unlocked and medication lock box located in the kitchen refrigerator containing medication was also unlocked; a Deficiency was cited on this date. LPA reviewed five client files and three staff files. Clients were not present to be interviewed. LPA interviewed one staff present. (Cont. LIC809-C)