Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conduct a required annual inspection. LPA met with Liza Pestrana, Lead caregiver/DSP, and explained purpose of inspection. Cecilia Pestrana, Administrator, arrived at 2:45 pm. The facility is an ARF (level 3 home) that is vendorized through Alta California Regional Center. There are (6) clients who reside at the home. LPA initially observed (2) clients in the home and was advised (4) were attending day program. (1) client returned during the inspection. The facility is a two-story home and staff reside on the second floor. The fire clearance was approved for (6) ambulatory clients.

LPA and Administrator Designee toured the interior and exterior of the facility including the common areas, (3) shared client bedrooms, (2) newly remodeled client bathrooms, kitchen, laundry area/garage, sun room. LPA observed the home to be clean, safe and in good repair and to not pose a health/safety risk or personal rights violation. Inside temperature was observed to be 74* F. Resident rooms have locks installed per Title 17 and residents who wish to have a key have been issued one. Fire extinguisher last serviced 12/4/23. Facility conducts monthly fire drills, at different hours. The facility has a large back yard area with seating and an unlocked exit gate. There are no pools/ponds. All toxins are locked in the laundry area and medications are locked in a separate cabinet near the kitchen. There is sufficient 2+day perishable/7+day non-perishable food, and all food is labeled when opened or purchased. Administrator to post 20-second hand-washing poster and place trash cans with lids in the bathrooms. Water temperature measured 108* in the kitchen. Smoke/monoxide alarms were in working order. Games/activities observed on site. There is a complete First Aid kit and sufficient PPE. Emergency Disaster Plan reviewed yearly.

All (4) staff files were reviewed- (3) staff have current ARF Administrator certificates . All staff has current training documentation, including First Aid/CPR. (3) client files were reviewed- files were organized, complete and contained current documentation. Facility manages P&I funds for (5) clients- P&I and medication records were reviewed for (2) clients and no discrepancies were found. MAR is current. Current Surety bond (exp 5/1/25). (2) clients interviewed. Copy of updated LIC308 and LIC500 requested . LPA obtained updated land/mobile phone numbers. There were no discrepancies noted during today's inspection.

Exit interview. Copy of report provided to the Administrator.