Facility Evaluation Report

Licensing Program Analysts (LPAs) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. LPA Tea was greeted and granted entry into the facility by DSP staff, Hailey Camacho and explained the reason for the visit. House Manager (HM) Stephanie Aguilar arrived shortly to assist with the visit. Facility is licensed for 4 ambulatory clients. Currently there are three clients.

LPA Tea and HM Aguilar toured the facility at around 2:00 PM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 4 client bedrooms, 2 bathrooms, living room, dining room, and kitchen and attached garage. LPA observed smoke detectors/carbon monoxide in client bedrooms and they are operational. There are no smoke detectors in common areas. LPA advised facility to install smoke detectors in the common area for the safety of clients. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Just furniture and facility rooms are worn out from wear and tear and client behavior. Water temperature measured at 118.4 F degrees. Client bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Doorways were free of obstructions. First aid kit had all the required elements including bandages, tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. There are no sharps in the facility, they have plastic knives and butter knives. LPA also observed toxin substances to be locked and inaccessible to clients in care locked away in a cabinet in the garage where clients have inaccessibility or unless supervised when clients are present in the garage.. The fire extinguisher in the kitchen was fully charged. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade in the front yard area. There is no backyard space. LPA observed emergency food in the kitchen and water supply in the garage. Facility provides activities based on clients interests, in the form of outdoor activities such as going out for walks and doing exercises, playing basketball at the park and going on outings like to the store and the beach.

Continuation of annual inspection on LIC809-C