Facility Evaluation Report

Licensing Program Analysts (LPAs) Samer Haddadin and Kevin Saborit-Guasch conducted an unannounced visit for the purpose of an annual inspection. LPAs were greeted and granted entry by Administrator (AD) Marites Ba-Vera, and LPAs explained the purpose of the inspection.

The facility is an Adult Residential Facility (ARF) and is licensed for six ambulatory clients but vendorized for four clients by the Regional Center of Orange County. Currently there are four clients in care. The facility is a two-story home which houses the family room, living room, dining room, kitchen backyard and attached two-car garage; the second floor houses the licensee’s brothers who are cleared and fingerprinted. second is not used by clients. The facility also has three client rooms in which one is a shared bedroom, and two full bathrooms in which one is being used for clients.

Facility appears clean, safe, and sanitary. All clients’ rooms had required elements, including bed, chair, closet space, and ample lighting. Facility had extra linens and hygiene supplies for all four clients. Restrooms were stocked with soap and paper towels. Hot water measured at 108.1 degrees Fahrenheit in both bathrooms. LPAs observed the facility had a two-day supply of perishables and a seven-day supply of non-perishable food was available as required by regulations. LPAs observed hallways and walkways were free of obstruction.

LPAs observed the fire extinguisher was charged based on the arrow on the extinguisher's meter pointing into the green zone. The service tag indicates the extinguisher was last serviced on April 13, 2024. Staff tested smoke and carbon monoxide detectors. LPAs observed the detectors to be operational. Chemicals and toxins are locked up in the garage using a closet. LPAs noted the facility's knives and sharps are in the kitchen secured and locked. Medication for each client is kept locked and secured from easy reach. The backyard has one shaded seating area, and the exit gate is unlocked and unobstructed. No bodies of water observed. LPAs reviewed all four clients’ files,and medications, P&I records showed cash on hand in excess of ledger amount for one client. Ledger reconciled during the visit, no further discrepancies observed.

LPAs reviewed three staff files. All files of staff and clients contained all required documentation.