Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an announced Pre-licensing visit at Warren Menifee Guest Home for licensure. The LPA was greeted and granted entrance into the home by Licensee, Gladys Warren.

Application : The application is for an Adult Residential Facility. The fire clearance has been granted for residential care for four (4) ambulatory adults ages 18 through 59 and stipulates the second floor and garage shall not be used for care.

Buildings and Grounds: The home is a six (6) bedroom, four (4) bathroom two story home and is composed of a living room, a family room, kitchen, dining area, laundry room, garage and a backyard area. There are three (3) bedrooms upstairs and two (2) bathrooms upstairs that are designated as the Licensee's living quarters. The downstairs area of the home is designated for client use and contains three client bedrooms, one full bath with tub and shower, and one half bath.

During a tour of the client bedrooms and bathrooms downstairs, the following observations were made:

- LPA observed bedroom one (1) to be a private bedroom that shares a full bathroom with bedroom two (2). Bedroom two (2) is set up to for two clients to share. LPA observed bedroom three (3) to be set up as a private bedroom for one client. LPA observed that in order for client from bedroom three (3) to take a bath or shower, he/she would have to walk through bedroom one (1) or bedroom two (2) to get to the bathroom to shower and bathe. LPA advised Licensee that no client bedroom shall be used as a public or general passageway to another room, bath or toilet. (Per CCR 85087(a)(4).