Facility Evaluation Report

On 11/16/21 Licensing Program Analyst (LPA) Javina George conducted an announced visit for the purpose of conducting a pre-licensing inspection with a change in ownership.

Upon arrival LPA met with Licensee Tiffany Dupree whom assisted with the inspection. The facility is a (2) two story house with (3) three resident bedrooms, 1 staff office and 3 bathrooms, a living room, kitchen with dining area, laundry room, 2 car garage and a backyard. On 8/6/21, the Moreno Valley Fire Department approved the facility for 4 ambulatory residents.

During today's inspection, LPA toured the interior and exterior of the facility. The medications will be centrally stored in the kitchen, and locked inside a cabinet next to the sink. The facility is equipped with lights in the hallways and passages. The smoke and carbon monoxide detectors were tested and are operable. There were 2 fire extinguishers observed.

All cleaning supplies are locked in a closet, in the downstairs hallway. The facility does not have any sharps located on the premises. All doors, and passageways are clear from obstruction. In the backyard there is a pool and jacuzzi that is fenced and locked. There is one fire place; covered with glass. All beds have the required linen and supplies. There was a sufficient amount of clean linen and hygiene items. There was appropriate lighting in each room.