Facility Evaluation Report

On 12/27/23 at 11:15 AM, Licensing Program Analysts (LPAs) Melody Brown & Bianca Wolcott arrived unannounced to conduct the required comprehensive annual visit to the facility. LPAs met with Licensee/Administrator Margarita Medina introduced themselves, and stated the purpose of the visit. Licensee/Adminstrator Ryan Medina arrived during the visit.

The facility has six (6) bedrooms, three (3) bathrooms, kitchen, dining room, living room, attached garage. The facility is vendorized by Inland Regional Center (IRC). LPAs

Brown & Wolcott completed a walkthrough of the facility, review of records, medication audit and P&I audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL), LPAs Brown & Wolcott observed three (3) clients. There are no obstructions to indoor & outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees F. LPAs Brown & Wolcott inspected client bedrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested 115 degrees F. The facility is equipped with operational smoke detectors, carbon monoxide detectors, charged fire extinguisher, and first aid kit with first aid book. Furthermore, during the tour of the facility, LPAs Brown & Wolcott observed alteration made on the 2nd floor as two (2) rooms were added and per documents review, LPAs Brown and Wolcott observed no notification made to CCLD of the alteration made to the facility. Deficiency will be issued.

Posters such as; the personal rights, CCL complaint poster, emergency disaster plan were posted in a common area. Sharps and medications were kept in secure cabinets inaccessible to clients. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility. Overall, the facility is clean, and operates in safe conditions for clients in care.