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 Erica Carr and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (6) and a current census (4). 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 no swimming pools or similar bodies of water. The facility has sufficient indoor and outdoor activity space for clients in care. Outdoor activity space is covered and enclosed with latching gates. The facility is equipped with operating fire/carbon monoxide alarms, laundry equipment, covered fire place, and telephone service. The facility is maintained at a comfortable temperature of 70 degrees F. Client bedrooms were equipped with beds, bed linen, dressers, chairs, storage space and lighting. Client bathroom equipment was operating in safe conditions and the hot water in client bathrooms tested at 109 and 115 degrees F. Sharps, disinfectants and cleaning supplies were kept locked. The facility has care and supervision 24 hours a day/7 days a week.

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

Health Related Services: The facility maintains records of client medications and medications are centrally stored and kept locked.

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). Record review reveals Client #1 (C1), Client #2 (C2), and Client #3(C3) did not have a current Individual Program Plan (IPPs) on file for LPA review. C1, C2, and C3 did not have a current physician's report on file for LPA review.

a deficiency was cited in accordance with Title 22 of the California Code of Regulations. An exit interview was conducted, where this report was discussed report and a copy provided with appeal rights to the Administrator at the conclusion of the visit.