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, Crystal Garcia and discussed the purpose of the visit. The facility is an Adult Residential facility with a license capacity of (4) and a current census (3). LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: 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 shaded and enclosed with latching gate. The facility is equipped with operating carbon monoxide alarms, laundry equipment, covered fireplace, hallway lighting, emergency food and water. Client bedrooms were equipped with beds, bed linen, night stands, storage space and sufficient lighting. Client bathroom equipment were fully operating and showers were equipped with non-skid material. The hot water in client bathrooms tested at 106 degrees F. The facility has posted: Community Care Licensing complaint poster, facility sketch, and house rules. Cleaning supplies, toxins, and sharps, were kept locked. There was a designated space for client/staff files.

Food Service: The facility’s dining areas and kitchen are maintained clean. The facility has sufficient supply of non-perishable and perishable food and snacks for number of clients in care.

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

Personnel/Client Records: Staff records were reviewed for health screenings, criminal record clearances, employment history, orientation, and first aid/CPR training certifications. Client records were reviewed for admission agreements, medical assessments, needs and service plans, and personal/incidental logs.

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