Facility Evaluation Report

Licensing Program Analyst (LPA) Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection. LPA was granted entry into the facility and discussed the purpose of the visit with Administrator, Darlene Moreno. The facility is an Adult Residential facility with a license capacity of (4) and a current census (4). During today's visit (1) client and (2) staff were present at the facility. LPA conducted an overall inspection, which included, but was not limited to, the following:

Operation/Physical Plant: The facility is operating within the capacity approved by Community Care Licensing Division. Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or similar bodies of water. The facility's outdoor activity space is shaded and enclosed with a self-latching gate. The facility is equipped with smoke/carbon monoxide alarms, fully charged fire extinguisher, laundry equipment and telephone service. Client bedrooms inspected were equipped with beds, chairs, dressers and operating lights. Client bathroom equipment were fully operational. The hot water in client bathroom tested at 105.4 and 111 degrees F. Sharps, disinfectants and cleaning supplies were kept locked. The facility has infection control plan and client registry for review. The facility has posted: facility license, emergency numbers, staff schedule, client activities and Community Care Licensing complaint poster. LPA requested documentation of a complete emergency and disaster plan for review; the Administrator stated they did not have a current plan for review.

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

Health Related Services: The facility maintains records of client medications and medications are centrally stored in a locked room. The facility maintains emergency supplies, a first aid kit and manual.

Personnel/Client Records: Staff records were reviewed for employment history, health screenings, criminal record clearances, crisis prevention training, first aid/CPR certifications, and Administrator's certification. Client records were reviewed for IRC placement/admission agreements, medical assessments, needs and service plans, and personal/incidentals (P&I) .