Facility Evaluation Report
On this day Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted and was granted entry into the facility by staff. LPA's temperature was checked upon arrival. LPA Tirre met with Administrator and explained the reason for the visit.
During the visit LPA toured the facility with Administrator, Facility is a 4 bedroom (3 Client rooms and 1 staff room) and 2 bathroom single story home. There are 6 Clients in care. LPA observed facility has required Department postings. LPA toured all clients rooms, all rooms where within regulations. All restrooms observed contained working water basin, soap, toilet paper, paper towels and hand sanitizer. Clients were observed relaxing in bedrooms and living room.
Facility has supplies of PPE. Facility has ample food supply. LPA observed facility has emergency food and water supply. Facility has evacuation plan posted on wall. LPA observed Administrator certificate expiring on 1/14/23. Facility has 1 fire extinguisher fully charged. Facility has a secured location for Client medication and files. Facility has 30 days supply of medications for clients. LPA reviewed Clients files during visit. Clients emergency contact information and physicians reports are current.
An exit interview was conducted with Administrator Shelly Martinez and copy of report was left at facility.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction