Facility Evaluation Report

On 9/4/24 Licensing Program Analyst's (LPA) Valerie Flores and Abdoulaye Zerbo made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA's Flores and Zerbo met with Administrator Paul Lang, who accompanied LPA's for the tour of the facility. The Applicant has submitted an application for (6) six residents to which applicant can only accept ambulatory residents. On 6/15/23 the Riverside County Fire Department approved a fire clearance for the six (6) ambulatory.

The facility is a single-story structure building consisting of three (3) residents' bedrooms, (5) bathrooms, a kitchen, formal dining room, game room, supply room, four (4) staff offices, and garage. The bedrooms were observed to have met the required bedding lighting, and furniture. There are plenty of extra linen (sheets, blankets, towels) that were observed to be in good repair located in the supply room. A fully charged fire extinguisher located on the exterior of building A. A locked supply room was observed to store disinfectant, poisons and other cleaning solutions. Three (3) locked cabinets were observed in Unit 2 for centrally stored medication and storing knives and other sharp objects. The carbon monoxide and smoke detector were tested and were observed to be operable and in good working condition. The kitchen is equipped with four (4) refrigerators. Each refrigerator met the required temperature per regulations.

The hot water temperature was measured at 118.2 degrees Fahrenheit meeting within the required limits. The facility has an emergency disaster plan and approved infection control training plan on file. The facility has a sufficient supply of dishes, cooking and eating utensils, that were observed to be in good repair. Indoor and outdoor passageways were free of obstruction. There are no bodies of water observed on the premises. Per Administrator Paul Lang, there are no firearms or ammunition on the premises.

LPA's observed the required postings of the emergency disaster plan, resident personal rights, employee rights, facility sketch, and See Something Say Something located on a wall in Unit 2.