Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Fannell conducted an announced visit for a pre-licensing inspection. LPA Bueno identified herself to applicant Joe Sims and informed Mr. Sims of the purpose of the visit.

The facility is currently applying for licensed Adult Residential Facility. The facility has been granted a fire clearance on 08/10/2023 by the San Bernardino County Fire Protection District for a total capacity of 6 ambulatory clients.

LPA Bueno and Mr. Sims toured the interior and exterior of the facility. The facility has four client bedrooms, two bathrooms, kitchen, a living/sitting room, dining and activity area, and backyard. The facility has no bodies of water. A covered patio has ample seating and recreational outdoor activities. The facility has a working phone and internet services for client use. LPA observed charged fire extinguisher while interconnected smoke alarms carbon monoxide detectors were tested and found to be in working order. The facility keeps a complete first aid kit. A locked centralized storage area for medications and client and staff files was observed.

The following were observed of the physical plant:

Client Bedrooms: LPA observed all bedrooms to have the required bedding and furniture, such as, mattresses/linen, sufficient storage space, chairs, and lighting.

Client Bathrooms: LPA observed all bathrooms and fixtures are kept in sanitary conditions.

Dining Area and Kitchen: LPA inspected the kitchen and found dishes, glasses, and utensils were in good working order. LPA observed appropriate food provisions.

Activity Area and Living Room: LPA observed adequate seating in the common areas. The facility had a supply of activities and reading materials for individuals served.

Items for correction: Prior to LPA Fannell providing Centralized Applications Bureau (CAB) of passing the