Facility Evaluation Report

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Licensee Lulu Medina and was granted entry to the facility. At the time of the visit there were two (2) staff present, and two (2) residents present. The facility is a five (5) bedroom, three (3), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is an Adult Residential (ARF) level 2 designated home, vendorized by Inland Regional Center. Licensed capacity is (6) current census (2). LPA was accompanied by licensee, to conduct a general overall inspection, which included, but was not limited to, the following:

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. LPA inspected client bedrooms; they are equipped with required furniture such as mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the kitchen to be at 1115 degrees F. The facility is equipped with smoke detectors and carbon monoxide alarms which were tested and were found to be operational. Posters such as personal rights were observed. The disaster plan was posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside locked hallway cabinets inaccessible to clients. LPA observed an in-ground pool in the backyard; the perimeter of pool is gated and locked. Overall, the facility is clean, in good repair, and operates in safe conditions for clients in care.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care.

Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department