Facility Evaluation Report

On 5/29/2024, at 3:01pm, Licensing Program Analyst (LPA) Arvin Villanueva arrived unannounced at this facility to conduct their required annual inspection visit. Note that this visit was conducted at the same day as their post-licensing visit. The CARE Tool was utilized during their post-licensing visit. LPA met with the facility administrator, Annabelle Cruz and explained the purpose of the visit. At this time, this facility is undergoing vendorization from Alta California Regional Center (ACRC). Currently, there is one respite resident staying at this facility under Family Home Agency (FHA).

LPA and Administrator conducted a physical inspection including but not limited to the common areas, bathrooms, residents room and outdoor areas. The facility is a one-story home located in a residential neighborhood. Outside of the facility was observed to be free of obstruction. LPA observed outdoor furniture for outdoor activities. LPA also observed security cameras outside of the home. No bodies of water was observed at this time.

LPA observed inside the facility to be clean, in good repair and to have sufficient furniture and lighting. LPA observed 3 resident bedrooms and 2 resident bathrooms. One of the bathroom is located in one of the bedrooms. LPA observed garbage cans without lid during bathroom inspection. Technical advisory was provided for facility to obtain proper garbage container per regulation. Kitchen was observed to be clean and sanitary. Facility maintain a sufficient 2-day perishable and 7-day non-perishable food supplies. Food supplies were observed to be stored adequately. Refrigerator and freezer were observed to have adequate space to accommodate food supplies and are within regulatory temperature of 45 degress F for the refrigerator and 0 degress F for the freezer.

Fireplace was observed to be screened. Medications and sharp objects were observed to be locked and inaccessible to resident. Toxins and cleaning supplies are kept locked in the laundry room and inaccessible to resident. Facility keeps a firearm and is kept locked in a locked box, inside a locked cabinet in the staff bedroom and inaccessible to resident.