Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made a visit to the facility to conduct an announced Pre-Licensing evaluation. Upon arrival, LPA met with Applicant Claudia Olteanu and Staff Elena Roatis. An initial application to operate an Adult Residential Facility (ARF) was submitted to the Central Applications Unit (CAU) for a Capacity of 6 (3 Ambulatory, 2 non-Ambulatory and 1 Bedridden) clients. Facility is an existing facility and 4 clients reside at the facility. Clients were at Program during today's visit. The Fullerton Fire Department conducted a Fire Safety Inspection on 11/18/2021 and granted a Fire Clearance. A tour of the physical plant was conducted inside and out at approximately 9:05 AM with Applicant and Staff and the following was observed:

Facility is a one story house with 5 bedrooms and 3 bathrooms. Bedroom #1 is designated as Bedridden and Bedroom #3 is for 2 non-ambulatory, and Bedroom #5 is designated for staff. There is a kitchen, family room,, dining area, and living room.

Central air/heating system installed with a central panel to control entire house.

The client bedrooms accommodate clients' furnishings and meet Title 22 regulation at this time.

The 3 bathrooms have a working toilet, wash basin, and shower. Grab bars and non-slip mats were present.

Adequate supply of linens and hygiene items were observed

Ombudsman Poster, Personal Rights and See Something Say Something Poster

Ombudsman poster, Personal Rights and the See Something Say Something are posted.

Adequate supply of 7-day non-perishable and 2 day perishables and fruits and vegetables were observed.