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 by Administrator Robert Castillones and discussed the purpose of the visit. The facility is a one-story, Adult Residential facility with a license capacity of (6) and a current census (4). The facility is a certified Inland Regional Center (IRC) vendor. 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's outdoor activity space is shaded and fenced. The facility is equipped smoke/carbon monoxide alarms, fully charged fire extinguisher, laundry equipment, night lights and telephone service. The facility has sufficient supply of bed linen, towels, and hygiene products for clients in care. Client bedrooms were equipped with beds, bed linen, nightstands, chairs, storage space and lighting. Client bathroom equipment was in operating conditions. The hot water in 3 of the 4 bathrooms inspected was not maintained within regulation. Bathroom #1 tested at 122 degrees F, Bathroom #2 and bathroom #3 tested at 124 degrees F. A deficiency cited. Sharps, disinfectants, and cleaning supplies were store in a locked cabinet. The facility has posted in a common area client personal rights, facility license, menus, activities, and emergency contact numbers. The facility has an infection control and disaster plan for review.

Food Service: The dining room rug and floors were dusty and not maintained clean. A deficiency was cited. The facility has sufficient non-perishable and perishable food for number of clients in care. The facility’s refrigerator tested at 44 degrees F and had sufficient storage space.

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