Facility Evaluation Report, 03/08/2023 — Ballentine Residential Care, Murrieta CA

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 3/8/2023 at 09:45 a.m. LPA was granted entry and met with staff Allison Sherman who was informed of the purpose of the visit. At the time of the visit there was (1) client and (3) staff present.

The facility is a one story home with (4) bedrooms and (2) bathrooms for clients. The clients served are adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted staff and client interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility. . LPA observed gloves and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's mitigation plan and found all required infection control measures. LPA will issue type b deficiency for facility not being able to provide a copy of their infection control plan during the visit. Deficiency and plan of correction was documented for this.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. There is an adequate number of activity. The outdoor area was observed to have a shaded area for clients and was free of hazards. laundry room. LPA observed (1) of the client restrooms to have an unclean toilet. The LPA was informed by staff that the client receives prompts to clean their private restroom. LPA will document a technical advisory note for facility to maintain client restrooms in clean and sanitary condition.

Operating Requirements: The facility has secured a fire clearance that is for 4 ambulatory clients only.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. LPA observed non-perishables in the facility garage.