Facility Evaluation Report, 08/01/2023 — A Mission for Michael, Lake Forest CA

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 Abby Huffnagle, and LPA discussed the purpose of the inspection. Program Manager (PM) Axel Vargas arrived at 10:30 a.m. and Program Director Dan Robinson arrived at 11:00 a.m.

During the inspection LPA and Staff Huffnagle 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 house with three client bedrooms, a therapy room, a medication room, and two bathrooms. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets.Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 108.6-113.1 F degrees. LPA observed all windows were screened. The back yard has a shaded sitting area. LPA observed two staff and five clients present. Clients were observed engaging in group activities in the morning, and after lunch staff took clients to an off-site gym class.

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 does not have a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations; 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 to be kept locked and inaccessible. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are also inaccessible to clients. Medication cabinet was observed to be locked in medication room. LPA reviewed five client files and three staff files. LPA interviewed five clients and one staff. (Cont. LIC809-C)