Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA was granted entry, met with Administrator Denise Coromina and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (2) 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: The facility is operating within the license limitations approved by Community Care Licensing Division (CCLD). Indoor and outdoor passageways were kept free of obstruction. The facility has sufficient indoor and outdoor space for client activities. Outdoor activity space is covered and enclosed with latching gate. Outdoor hot tub is covered and inaccessible to clients. The facility is equipped with fire/carbon monoxide alarms, laundry equipment, covered fire place, hallway lighting, telephone service, emergency food supplies/water, first aid kit with manual, and maintained at a comfortable temperature of 71 degrees F. Client bedrooms were equipped with beds, bed linen, nightstands, storage space and lighting. Client bathroom equipment was operating in safe conditions. The hot water temperature tested at 107 degrees F. Sharps, disinfectants and cleaning supplies were stored in a locked cabinet. The facility has posted Community Care licensing complaint poster, facility license, client personal rights, facility evacuation sketch and emergency telephone numbers.

Food Service: The facility’s kitchen and (2) dining areas were maintained clean. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility’s refrigerators, freezers, and food pantry provided sufficient space for food storage.

Personnel/Client Records: Administrator/staff records were reviewed for health screenings, criminal record clearances, and first aid/CPR training certification. Client records were reviewed for admission agreements, medical assessments, needs and service plans, and personal/incidental logs (P&I).

No deficiencies were cited during today’s visit. An exit interview was conducted and a copy was provided to Robert Coromina at the conclusion of the visit.