Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator Charlotte White and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (1). The facility is a certified Inland Regional Center (IRC) vendor. LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: Indoor and outdoor passageways were kept free of obstruction. The facility's swimming pool is fenced and observed locked. The facility has sufficient indoor and outdoor activity space for clients in care. The facility is maintained at a comfortable temperature of 74 degrees F. The facility is equipped with smoke/carbon monoxide alarms, night lights, laundry equipment and telephone service. The facility has a sufficient supply of linen and hygiene products for clients in care. Client bedrooms were equipped with beds, bed linen, nightstands, chairs, and bedroom lighting. Client bathroom equipment was operating in safe conditions. The hot water in client bathrooms tested at 112 degrees F. Firearms, sharps, disinfectants, and cleaning supplies were kept locked and inaccessible to clients. The facility has posted in a common area: facility license, personal rights, Community Care Licensing complaint poster, evacuation sketch, and emergency numbers.

Food Service: The facility’s dining area and kitchen were maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility's refrigerator tested at 37 degrees F and freezer temperature is maintained at zero degrees.

Health Related Services: The facility maintains records of client's medications and medications are centrally stored in a locked cabinet.

Personnel/Client Records: Staff records reviewed had health screenings, criminal record clearances, and first aid/CPR training certifications. Client records reviewed had admission agreements, IRC placement agreements, medical assessments, and needs and service plans. The Administrator's certification is current. The facility's liability insurance, earthquake drill training, emergency and disaster plan are current.

No deficiencies were cited during today’s visit. An exit interview was conducted, where this report was discussed and a copy was provided to the Administrator, at the conclusion of the visit.