Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore conducted an announced pre-licensing visit to the facility. LPA met with Victor Chiumia, Administrator, and was granted entry into the facility. An initial application to operate an Adult Residential Facility was submitted to the Centralized Applications Bureau. LPA conducted an inspection of the facility, which included but not limited to the following:

Operation/Physical Plant: A fire clearance was granted by the San Bernardino Fire Department on 5/09/24 for a total capacity of five (5) clients, one of which was approved for non-ambulatory status. The facility has an infection control pland on file. Indoor and outdoor passageways were free of obstruction. The facility has no swimming pools or similar bodies of water. The facility window screens were observed to be in good repair. The facility has sufficient shaded outdoor space and sufficient indoor space for client activities. The facility is equipped with operating smoke/carbon monoxide alarms and laundry equipment. The facility has posted in a common area: emergency exiting plan and telephone numbers, Client personal rights, Community Care Licensing poster, activity calendar and facility visiting policy.

Bedrooms/Bathrooms: Client bedrooms are equipped with beds, bed linen, chairs, nightstands, storage space and sufficient lighting. Client bathroom equipment was in operating condition. The hot water temperature measured 118 degrees F. An operating night light was observed in the hallway area outside of client bathroom.

Food Service: The kitchen and dining areas are maintained clean. The facility has an adequate number of cups, dishes, and utensils for client use. The facility has a sufficient seven (7) day supply of non-perishable foods. The refrigerator and freezer have sufficient space for at least two (2) days of perishable foods. Sharps were kept in a locked drawer.