Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to conduct a required annual inspection. LPA was greeted at the door by Direct Support Staff, Jonathan Francis. Licensee John Young arrived shortly. A tour of the facility was conducted inside and out. LPA conducted client and staff interviews.

The facility is a two story four (4) bedroom (3) bathroom home. Each client has their own bedroom. LPA observed bedrooms to be furnished appropriately and in good repair. Bathrooms were observed to be clean and in good repair. The facility is appropriately furnished throughout the home and in good condition. There were no obstructions to passage ways both inside and out. No firearms or ammunition are kept in the facility. The kitchen is appropriately stocked with clean dishes and food is appropriately stored. There is a sufficient supply of perishable and non-perishable foods. Sharps and hazardous chemicals are kept stored in separate locked cabinets in the laundry room. The fire extinguishers were observed to be charged and operable. The smoke and carbon monoxide alarms were tested and operable. Hot water temperature was measured in the bedroom and kitchen area and tested 117.5 degrees Fahrenheit. LPA observed the facility's emergency drill log, last drill was conducted on 8/2/2023. Appropriate signage is posted throughout the facility. Night lights were observed in the hallways. LPA reviewed client and staff records. All staff have criminal background clearance and CPR/1st Aid certification is current. Client records were observed to be up to date and contained recent IPPs and appropriate documents. Client P&I funds are kept separate from facility funds in a locked cabinet. LPA reviewed medications and MAR log. Residents' medications are being dispensed according to physician's orders.

No cited deficiencies per Title 22, Division 6 of the California Code of Regulations cited at this time.

An exit interview was conducted and a copy was provided to Licensee John Young.