Facility Evaluation Report

Licensing Program Analysts (LPAs) Magda Malcore and Beena Singh made an unannounced visit to conduct an annual inspection of the facility. LPAs met with House Manager, Erika Espinoza, and informed the purpose of the visit.

The facility is an Adult Residential Facility (ARF) with a licensed capacity of four (4) and a current census of four (4) clients. LPAs conduct a 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 Division (CCLD). There are no obstructions to indoor and outdoor passageways. Outdoor activity space is shaded and enclosed with a self latching gate. The facility is maintained at a temperature of 74 degrees Fahrenheit (F). Client bedrooms were equipped with mattresses, nightstands, storage space, and lighting. Client bathroom appliances were operating appropriately. The hot water temperature measured 106 degrees Fahrenheit (F). The facility is equipped with smoke detectors and carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, covered fireplace, first aid kit w/manual, and telephone service. The facility has posted in a common area: client personal rights, the CCLD complaint poster, emergency telephone numbers, activities calendar, menu and facility license.

Care & Supervision: The facility has sufficient number of staff to provide care and supervision to the clients.

Food Service: The facility has more than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food for clients in care.