Facility Evaluation Report
On 01/09/2025 at 02:55 PM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection. LPA Brown was greeted by a staff and gained access at the home. Administrator NIkki Von Jenna was contacted and informed of the visit. LPA Brown explained the purpose of the visit to Staff #2 (S2). Administrator NIkki Von Jenna arrived during the visit. LPA Brown explained the purpose of the visit to Administrator Von Jenna.
The facility has four (4) bedrooms for the clients, two (2) bedrooms for the staff and four (4) client/staff shared bathrooms, kitchen, dining room, living room, laundry room, attached garage, and backyard. The facility is vendorized by Inland Regional Center (IRC). LPA Brown completed a walkthrough of the facility, review of records, medications audit and personal and incidental (P&I) audit.
Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA Brown observed four (4) clients during the visit. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit. LPA Brown inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs, and sufficient lighting. LPA Brown inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 122.1 degrees Fahrenheit. Deficiency will be issued. The facility is equipped with operational smoke detectors, carbon monoxide detector, charged two (2) fire extinguishers, and first aid kit with first aid book.
Posters such as; the Personal Rights, CCLD complaint poster, labor laws, Theft & Loss Policy, Grievance Policy and emergency disaster plan were posted in a common area. Client medications were kept in secure cabinets inaccessible to clients. LPA Brown observed night lights at the hallway leading to clients' shared bathrooms. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility. *** Continuation in LIC809C ***
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction