Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA met with Administrator Ivy Contreras and explained the reason for the visit. LPA and Administrator toured the facility. Facility is a single story house with 6 bedrooms, 3 bathrooms, living room with a fireplace that is screened, dining room, family room, kitchen and an attached 2 car garage. No clients were present during the visit. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply on hand in the kitchen. LPA observed the stove lights unassisted. LPA observed the fire extinguisher in the kitchen is fully charged. LPA observed medications are kept locked in a kitchen cabinet. Knives, sharp objects and cleaning supplies are kept locked in the garage. The garage is kept locked and used for storage. LPA inspected the client rooms. LPA observed the client rooms had the required furnishings. LPA observed all of the client beds had the required linens. The hot water measured from 105.9 to 107.2 degrees Fahrenheit in all 3 bathrooms. All 3 bathrooms were clean and operational. The smoke detectors/carbon monoxide detectors tested operational. LPA toured the backyard. The backyard has a seating area for clients. No bodies of water observed. The exit gate is latched and self closing. No obstacles or hazards observed in the backyard. LPA reviewed 5 client files, no discrepancies observed. LPA reviewed 5 out of 5 client medications, no discrepancies observed. LPA reviewed 3 staff files, no discrepancies observed. LPA observed that at this time the facility has no qualified Administrator who is currently certified (has an active certificate). The Administrator reported she is waiting for her initial certificate and has submitted the training documents to be verified by the Agency. No obstacles or hazards observed inside the facility. LPA consulted with the Administrator concerning reporting requirements, administrator requirements, the use of Guardian and document requirements for the facility. Deficiency is being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights was provided.