Facility Evaluation Report

On 08/02/24 at 1:05pm Licensing Program Analyst (LPA) Javina George made an unannounced visit for the purpose of conducting a 1 year required visit/annual inspection. LPA George met with Administrator Sabrina Lipplegoos and informed of the purpose of today's visit. Based on the fire Clearance, the facility is licensed to serve six (6) ambulatory residents on 7/29/22 by the Riverside County Fire Department. The home is set-up with group/blue room, therapy room, family therapy room, kitchen, dining room, three (3) resident bedrooms, (6) restrooms, (4) offices, backyard, laundry room, gym, Learning lab, art closet, IT room, staff/CC room, recreation/art room and medication room.

Infection Control: The facility was observed to have an adequate supply of Personal Protective Equipment (PPE) supplies.

Physical Plant : LPA conducted a tour of the interior and exterior areas of the facility. The facility has a black bottom pool, with a spa and water slide. The pool is surrounded with a gate which is locked and monitored by staff during resident use. Exits to the outside were observed to be from obstruction and unlocked for residents' and staff's use in case of emergency. The facility does not have a secured perimeter and there are no locked gates around the facility restricting emergency exit. LPA observed required accommodations in residents' bedroom and bathrooms, including beds, linen, storage furniture, and lamps.

Records Review: Staff Records: The facility utilizes an electronic record keeping system and observed that there are sufficient staff present to meet the needs of the residents. The staff present were observed to have obtained criminal record clearance and to be associated to the facility.

Resident Records: A review of all (5) current residents files were observed to have Physician's Report, Admissions Agreement and several other assessments.