Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced required 1-year visit to the facility. LPA met with Administrator, Usha Martin and discussed the purpose of the visit.

The facility is a two story, Adult Residential Facility (ARF) and a Inland Regional Center (IRC) certified vendor. The facility has a license capacity of (5) and a current census of (0). The facility currently has no staff and no clients in care. LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

LPA observed indoor and outdoor passageways are kept free of obstruction. The fenced backyard has sufficient shaded space for outdoor client activities. No bodies of water were observed. The facility is maintained at a comfortable temperature at 73-74 degrees F. The facility is equipped with carbon monoxide alarms, fully charged fire extinguishers, laundry equipment and telephone service. The facility has sufficient supply of towels, linen, and personal hygiene products for clients. Posters such as client personal rights, emergency contacts, Community Care Licensing complaint poster were posted in a common area. The facility has a complete first aid kit with a first aid manual. The facility has a locked medication cabinet where medications will be stored. The facility has sufficient nonperishable and perishable food for clients. Sharps, disinfectants, cleaning supplies are kept in a locked cabinet. There is a storage cabinet available to store client and staff files. Client bedrooms are equipped with beds, nightstands, chairs, and lighting. Client bathroom equipment are operating in a safe and sanitary condition. The hot water temperatures tested at 110 degrees F. Nightlights were observed in hallways leading to client bathrooms. There are currently no staff or clients in care for file review.

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