Facility Evaluation Report

Licensing Program Analysts (LPAs) Mary Rico and Raquel Hernandez made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs were granted entry to the facility.Licensed capacity is (4) current census (0). Facility was a two-story house with four (4) client bedrooms. One staff room, and three (3) bedrooms upstairs and one client room on the first floor. There are three bathrooms, a living room, loft, dining area, and kitchen. In addition, the facility has a pending application to be vendorized by Inland Regional Center. LPA was accompanied by Administrator Demetria Risin to 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 client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. All sharps are locked. There was a designated space for client/staff files.

Food Service: . Dishes, cups, and utensils were also stored properly.

Record Review: Furthermore, the facility does not have clients. LPA also reviewed one (1) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings.Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided Administrator Demertria Risin.