Facility Evaluation Report

Soc Care, San Jacinto09/23/2024Licence 331881559

Capacity3
Census0
Date signed09/23/2024 10:36:18 AM
The inspector’s account

Licensing Program Analysts (LPA's) Armando Perez and Kathleen Banrasavong made an announced visit to the facility for the purpose of conducting a pre-licensing inspection. LPA's met with Applicant, S'halana Carter, who accompanied LPA's for the inspection. The Applicant has submitted an application for three(3) ambulatory residents. On 4-11-2024 the Riverside County Fire Department approved a fire clearance for which the applicant has applied for.

Facility is a one story building with 3 client bedrooms, 2 bathrooms, laundry room, living room, dining area, kitchen and attached garage. LPA's observed clients’ bedrooms with the required bedding and furniture, such as, clean mattresses/linen, night stands, dressers, chairs, lighting, and emergency lighting. Client bathrooms had a shower and clean appliances that were operating in safe and sanitary condition. Facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. Knives and sharps are stored and locked in a kitchen cabinet. Facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. Emergency food will be stored in the closet located before the entrance of the garage.

Client and staff files will be in locked cabinet in the Garage. Client medication will be centrally stored and locked in the kitchen cabinet. The facility has no pool or any body of water. There is a covered area with an umbrella and seating for all the clients. All passageways were free from obstruction. LPA's observed 2 charged fire extinguishers in the facility with last service dates of 04/08/24. The smoke detectors and carbon monoxide alarms were tested and operational. The facility does not have any known firearms and ammunition on the property. LPA's observed the required postings of the emergency disaster plan, resident personal rights, complaint procedures, employee rights, visitation rights and facility sketch. LPA's observed the licensees valid Administrator Certification with expiration date of 01/28/2026 and CPR certification expiring on 01/06/2025. Facility contains emergency supplies and first aid kits with the required items. The facility has working telephone for client use.

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