Facility Evaluation Report

On 09/13/23, Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with DSP, Peggy Ames, introduced self and stated purpose of the visit.

The facility has 6 bedrooms, 4 bathrooms, kitchen, dining room, living room, family room, laundry room, attached garage, backyard, back house and shed. The facility is vendorized by Inland Regional Center. LPA completed a walk through of facility and review of medication and records.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 77 degrees fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 107.1 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguishers, and first aid kit. Posters such as; the personal rights, CCL complaint poster, emergency disaster plan were posted in a common area. LPA observed the emergency disaster plan outdated and not reviewed since 11/11/20. Deficiency issued. Cleaning supplies, toxins, sharps, medication and other dangerous items were kept in secure cabinets inaccessible to clients. Clients/staff files were observed inside the staff's bedroom made inaccessible to clients. The facility had emergency kits, emergency food and water in the garage. There are no pools, bodies of water, firearms or ammunition. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service : Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a wide variety of food available for clients. Dishes, cups, and utensils were also stored properly.