Facility Evaluation Report

Licensing Program Analyst LPA Bernadette Allen made an unannounced visit to the facility to conduct a required annual inspection. LPA arrived at 8:40 AM rang the doorbell there was no answer. LPA called the mobile number on file and Gloria was informed that LPA Allen was at the facility to conduct the annual inspection. Gloria stated that she would come to the facility, but it will take her about 15 minutes to arrive. Gloria Thomas arrived at 9:05am and informed LPA that staff were not at the home and the residents were at day program. .

The facility has four(4) bedrooms and two (2), bathrooms, kitchen/dining area, living room, and attached garage. The facility is an Adult Residential Facility (ARF) level 3N home vendored by Inland Regional Center Licensed capacity is (4) current census (3).LPA conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant : The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected clients bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately.

LPA observed sufficient furniture and lighting throughout the facility.LPA measured and observed the water temperatures in the bathrooms to be at 105.7 -120 degrees F. The facility is equipped with operating smoke detectors, carbon monoxide detectors and fully charged fire extinguishers. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in the common area.

Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside the closet in the main entrance area. Overall, the facility is clean, in good repair, and operates in safe conditions for clients in care.