Facility Evaluation Report

Sycamore House, Lake Elsinore11/30/2023Licence 335530021

Capacity3
Census0
Date signed11/30/2023 01:18:06 PM
The inspector’s account

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Lanee Tate and was granted entry to the facility.

The facility is an Adult Residential Facility (ARF) level 4i home vendorized by Inland Regional Center. The facility is a three (3) bedroom, two (2) bathroom home with a kitchen/dining area, living room, and an attached garage. The facility is licensed for a capacity of three (3) ambulatory clients and the current census is zero (0) clients. The facility is currently waiting on client placement from Inland Regional Center. LPA was accompanied by Administrator to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: There are no obstructions to the indoor and exterior 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. LPA measured and observed the water temperatures in the bathroom to be at 110 degrees F. 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 for future clients in care. There was a designated storage space for future client files and staff files. Medications will be kept in the medication cabinet in the kitchen inaccessible to future clients. Overall, the facility is clean, in good repair, and operating in safe conditions to accept clients.

Food Service: Non-perishable and perishable food supply is sufficient.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction