Senior Care Records.

Facility Evaluation Report

Alter Mental Health - Dana Point, LLC, San Juan Capistrano10/31/2024Licence 306006362

Capacity6
Census6
Date signed10/31/2024 12:31:15 PM
The inspector’s account

Licensing Program Analyst (LPA) Joseph Alejandre and Brandon Lopez made an unannounced visit. LPAs were greeted and granted entry by staff. LPAs met with Administrator Whitney Buss and explained the reason for the visit. LPAs and Administrator toured the facility. The facility is a two-story house with four client bedrooms upstairs, three bathrooms, living room, kitchen, dining room, laundry room, staff office (with plexiglass walls, therapy room and attached four-car garage. LPAs observed the See Something, Say Something poster (PUB 475) prominently posted by the main entry door. LPAs and Administrator toured the kitchen. LPAs observed two day perishable and seven day non perishable supply in the kitchen. LPAs observed the four burner gas stove top lights unassisted. LPAs observed all medications and sharp objects are kept locked in the staff office. LPAs and Administrator inspected the bathrooms. All bathrooms are clean and operational. The hot water measured 127.9 to 129.0 degrees Fahrenheit. LPAs observed there is four client rooms. LPAs observed all four client rooms has the required furnishings. LPAs observed there is no emergency evacuation chair for the stairway. Cleaning supplies are kept locked in the laundry room. The garage has exercise equipment for client use. LPAs observed a three day supply of emergency food and water in the garage. LPAs and Administrator toured the backyard. There is a pool surrounded by a fence in the backyard. The pool is inaccessible to clients. The exit gate on the south side of the house has an alarm that is operational. The gate is latched and self closing. There is a plastic shed in the backyard which is used for storage and kept locked. LPAs observed a covered patio in the backyard with table and chairs for clients to sit outside. No obstacles or hazards were observed in the backyard. LPAs observed all 8 fire extinguishers are fully charged. The last emergency drill was conducted April 5, 2024. Smoke detectors/carbon monoxide detectors tested operational. LPAs reviewed three staff files. All three staff members had the required training, including first aid training. All staff present at the facility are background cleared and associated to the facility. LPA reviewed 6 client files and medications, no discrepancies observed. Deficiencies are being cited per Title 22 Chapter 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report along with appeal rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction