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 Melanie Balgjian, Facility Manager 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). The facility is a certified Inland Regional Center (IRC) vendor. During today's visit there was one client present and two clients were attending program.

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. 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 gated. The facility is equipped with smoke/carbon monoxide alarms, fully charged fire extinguishers, laundry equipment, sufficient personal hygiene products and telephone service. Client bedrooms were equipped with beds, nightstands, chairs, storage space and sufficient lighting. Client bathroom equipment was fully operational. The hot water in client bathrooms tested at 109 degrees F. LPA observed no emergency hallway lights leading to non-private bathrooms. A deficiency cited. Sharps, disinfectants and cleaning supplies were kept stored in a locked cabinet and locked container. The Administrator's certification, facility's liability and surety bond are current.

Food Service: The facility’s dining areas and kitchen were maintained clean. The facility has sufficient non-perishable and perishable food for clients in care. The facility’s freezers and refrigerators were fully operational.

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 and first aid/CPR training certifications and observed to be complete. Client records were reviewed for admission agreements, IRC placement documentation, medical assessments, needs and service plans, and personal/incidental logs. Review of all three (3) client records reveals clients do not have a current and complete annual Individual Personal Plan (IPP) on file for review.