Facility Evaluation Report

On 02/10/22 Licensing Program Analyst (LPA) Jade Jordan conducted an unannounced Annual inspection to the facility, with an emphasis on inspection control. The LPA was met by Administrator April Gorman, and the purpose of the visit was explained. The facility is licensed to have four (4) Developmental disabled clients between the ages of 18-59 years of age. The facility is vendorized through Harbor Regional Center as a level 4G home. LPA reviewed staff and client records. All files reviewed were current and maintained the required documents. The Administrator certificate expires 10/21/22.

The home is a single story house which consists of : four (4) bedrooms, two (2) bathrooms, One (1) staff bedroom, kitchen, living room, dining area, covered patios and back yard and a attached garage used as a staff office. The washer and dryer are installed in the garage area. All client bedrooms were checked. Mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space observed. Walls and floors were clean and in good condition. Bed linens, comforters and bath towels were adequately stocked at time of visit. Bathrooms were found to be within Title 22 regulation. Toilets and water facets worked properly. Showers were free of mold/mildew, adequate lighting, and sufficient toiletries accessible to consumers. Water temperature was measured at 107 degrees

Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Smoke detectors and carbon monoxide detector were working properly. Chemical and knifes were locked and inaccessible to clients. Medications were centrally stored and properly locked. Outside grounds were toured and no bodies of water were observed.