Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola, conducted an announced visit for the purpose of conducting the prelicensing visit. LPA met with applicant John Young. The applicant is seeking an initial application for an adult residential facility with a capacity for (3) clients, ages 18 to 60.

LPA conducted a walk through of the interior and exterior of the facility. The home is a (3) bedroom and (3) bathroom, two story home with an attached garage. The fire clearance conducted by Temecula Fire Department approve the home for (3) ambulatory clients. LPA observed the clients bedrooms which had the appropriate linens, furniture such as bed, dresser, closet space, light, and chair. The home has extra linens and bath towel in a hallway closet, as well as a first aid kit, and emergency lighting. The facility kitchen has enough pots and pans, cooking utensils, plates and cups for (3) clients. The kitchen had the appropriate food items for the capacity of 3 clients. LPA observed the bathrooms in the facility to have hand hygiene supplies, and for future clients. The laundry room was observed be functional, and the facility possesses cleaning supplies to conduct regular cleaning of the facility. The smoke alarms and carbon monoxide detectors were found in operating condition. The dining room has enough seating for (3) clients, and the outdoor space has enough seating for (3) clients with a shaded area. The hot water temperature was recorded in the kitchen sink at 114.9F, and the land line was observed to be operational.

No bodies of water or firearms are being kept in the facility. Kitchen knifes will be kept locked with the medications in a locked locker by the office space with the cleaning supplies.

Component III orientation was conducted during the visit with the applicant. An exit interview was conducted were this report was reviewed and provided to the applicant, John Young.