Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff Sonia Guevara and was granted entry to the facility. The facility is a five (5) bedroom, two (2), bathroom home and, with a kitchen/dining area, living room and attach garage. Licensed capacity is six (6) current census four (4). LPA was accompanied by Staff Sonia Guevara 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, night stands, storage space, bathrooms were clean. LPA observed sufficient furniture. The hot water temperature tested within regulation at 118 degrees F. The facility is equipped with operating carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. During tour, LPA observed bathroom cabin broken, and medication cabin not locked.

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

Care & Supervision: Facility does not sufficient staff coverage. S1 and S2 had informed LPA their Administrator does not visit their facility. S1 and S2 stated their Administrator operates six (6) other facilities. S2 informed LPA their staff only work for a short period of time and return back to their country. Licensee did not provide an updated LIC 500 and staff schedule. No documents were provided for staff coverage. Facility does not have a designated staff who meets the require qualifications. LPA discovered S1,S2,S3 are able to communicate with residents due to language barrier.