Facility Evaluation Report

Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Mountain View Cottages - VI unannounced to conduct an Annual Inspection. LPA knocked on the door and was greeted by Caregiver, Mijo Suzuki. LPA introduced self and stated purpose of the visit. LPA was granted entry and signed in. LPA was informed that the current census is 1. Other residents in care had been picked up and taken to their day programs.

LPA was provided a place to work then accompanied by Staff on a walk through of the facility.

The facility is comprised of, six (6) Bedrooms, 2 Bathrooms, Living Room, Den, Office Space, Kitchen, Backyard and attached garage. The facility is a Residential Care Facility Elderly. The facility also maintains partnership with the Inland Regional Center at Level 4I. Facility is approved for 6 non-ambulatory, 1 bedridden and Hospice Waiver approval for 2 residents. The facility is operating in the capacity approved by Community Care Licensing (CCL).

Physical Plant: The facility is maintained in comfortable temperature. Sufficient lighting was provided throughout the facility by various lamps, light fixtures and night-lights. Pathways were free of obstruction and clutter. Smoke detectors and carbon monoxide alarms were observed throughout the facility. They were tested and found operational. A fully charged fire extinguisher was located in the kitchen; last inspection date February 2024. Resident rooms all contained adequate furniture such as: beds with required linens, adequate storage space, seating and sufficient lighting. At approximately 10:40 am LPA observed a yellow colored bottle of pledge sitting unattended in a Resident Room. Staff secured the bottle of pledge upon observation. Extra linens and hygiene supplies were stored in a hallway closet. The hallway lead to the facility's laundry room and attached garage. LPA observed that the garage door was secure. Laundry room also contained secure cabinetry for laundry supplies.