Facility Evaluation Report

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry by Caregiver Chris A. and explained the reason for the visit. Administrator Sean Estrella arrived at the facility at 9:30 am.

At 8:00am LPA Mendivil reviewed 2 out of 2 client files and 8 out 8 staff files and all contained the required documentation. LPA Mendivil toured the facility with Caregiver Sefan around 9:00am. The facility is a one-story home with five bedrooms, three bathrooms, kitchen, dining room, living room, family room, backyard and attached 2-car garage. Facility appears clean, safe and sanitary. LPA Mendivil observed the water temperatures read as follows: kitchen 106.7 degrees, resident bathroom 95.5 degrees,resident bathroom #2 66.4 degrees and staff bathroom 99.9 degrees. LPA Mendivil observed all clients rooms had required elements, including bed, chair, closet space and ample lighting. Facility had extra linens for clients in the hallway closet. LPA observed medication for each client is kept locked in a cabinet near the kitchen. LPA observed backyard has two shaded sitting/lounging areas. Exit gates are unlocked and self latching. LPA observed exit gates to be unobstructed.LPA Mendivil observed smoke detectors and carbon monoxide detectors to be operational. LPA Mendivil observed emergency food and water stored in the garage. LPA observed facility has the required 2 day supply of perishables and 7 day suppy of non perishables. LPA Mendivil observed board games, exercise equipment, a Ms. Pacman Arcade game, Jukebox and more for client use.

Based on observations made deficiencies are being cited per California Code of Regulations Title 22. An exit interview was conducted and a copy of this report was provided along with appeal rights.