Facility Evaluation Report, 08/19/2022 — Mental Health Collective, the, Newport Beach CA

Licensing Program Analyst (LPA) Kimberly Lyman made an announced visit to conduct a pre-licensing inspection. LPA identified herself and discussed the purpose of the visit with Administrator Greg Rosenbaum. Compliance Officer Wendy Galvan, Program Director Amber Labriola, and Chief Financial Officer Max Reznik were present as well. An initial application to operate a Social Rehabilitation Facility was received by CCL on 02/2/2022 for a capacity of six ambulatory clients. Covid signage was observed outside facility entrance and LPA observed the screening/ sanitizing station in the entrance of the facility.

LPA along with the management team toured the facility at 9:10 AM and observed the following:

Structure: Facility is a two story, 6 bedroom, 8 bathroom house with an attached garage and a white exterior. Second story railings are monitored by video surveillance on management/ staff phones and computers . Living Room/ Dining Room : Adequate seating is available in the dining room and living room. Bedrooms Clients: Rooms will be single occupancy. All rooms are equipped with appropriate lighting, chair, night stand and ample closet space. Bathrooms: All client bathrooms have a working toilet/ wash basin as well as non-skid surface in the shower. Facility has sanitizer and paper towels in the restrooms as well as hand washing signs posted. Linens & Hygiene Supplies: Facility has bedding, towels and hygiene supplies for clients in care. Emergency Phone Numbers and Exit Plan: Posted in common area of facility. Food Service: Facility has 2 day perishables as well as 7 day non-perishables. LPA observed a posted menu and facility will have an on-site chef. LPA observed ample emergency food and water. Smoke Detectors: Smoke detectors/ carbon monoxide detectors are centrally wired and were tested operational. Fire extinguishers are mounted and charged. Appliances: Stove, oven, refrigerator, microwave, washer, and dryer are clean and operational. Toxins / Sharps : Facility has secured area for toxins/ sharps in health care office. Water Temperature: Tested and recorded between 109 and 115.6 degrees F. in facility bathrooms. Medications, First-Aid Kit & Book: First aid kit observed contained all required items. Medication to be stored and locked in secured health care office. Facility to use an electronic medication administration record. LPA observed the first aid manual. CONTINUED ON LIC 809C DATED 08/19/2022.