Facility Evaluation Report
Licensing Program Analysts (LPAs) Brandon Lopez and Nancy Guillen made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry into the facility by care giving staff after explaining the purpose for the today's visit. Administrator Marisa Hernandez was notified via telephone but could not arrive to assist with the inspection. LPAs observed that Marisa Hernandez has a current administrator's certificate with an expiration date of March 31, 2027.
The facility is an Adult Residential Facility (ARF) licensed for four ambulatory clients. The facility is a single story home with four private client bedrooms, one staff bedroom, three shared client bathrooms, a den, a living room, a dining room, and a kitchen. LPAs accompanied by a care giving staff conducted a tour of the interior portion of the facility. On today's visit, LPAs observed one client present and one care staff present. Per staff, two of the clients were with family and friends and one of them was at work. LPAs inspected the four private client bedrooms and observed them to be free of hazards. LPAs observed the client bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed client beds to have clean linens and blankets. LPAs observed additional linens to be stored in a hallway closet. LPAs tested the individual smoke detectors in each of the client bedrooms which tested operational. LPAs inspected the three client bathrooms and observed them to be clean. Faucets and toilets were operational. Hot water temperature measured 126.3 degrees and 128.3 degrees Fahrenheit.
LPAs observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPAs observed kitchen appliances to be clean and operational. The four burner gas stove lights unassisted. LPAs observed kitchen knives and sharps to be stored in a locked cabinet in the den. LPAs observed fire extinguishers to be mounted on the wall in the kitchen and in the client hallway. CONTINUED ON LIC809-C
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction