Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno made an unannounced visit to the facility to conduct a required annual inspection. LPA identified herself to direct support professional (DSP) Kevon Clardy who was advised of the purpose of the visit. DSP Clardy phoned administrator Vivian Francisco; Francisco arrived during the visit.

The facility is currently licensed as an Adult Residential Facility, vendored by the Inland Regional Center. The facility has capacity of four ambulatory clients. Three staff and three clients are present at the facility during today's visit.

LPA Bueno and DSP Clardy toured the interior and exterior of the facility. The facility has no bodies of water. There is a shaded area in the backyard for client use. LPA and DSP observed that side gate was unlocked and free of obstruction. The facility had a working telephone for use. The facility fire extinguisher was last inspected by staff on 10/7/23 and LPA observed the fire extinguisher to be charged. DSP tested the living room smoke alarm and found the unit to be in working order. LPA and DSP observed other smoke alarms in the facility were interconnect and began chiming afterwards. A locked centralized cabinet is used for medications while client and staff files and facility records are kept secured in a locked office. Sharps, toxins, and cleaning agents are kept secured and locked in closets and cabinets..

The following were observed of the physical plant:

Client Bedrooms and Bathroom: LPA Bueno and DSP Clardy observed all bedrooms to have the required bedding and furniture, such as, clean mattresses/linen, sufficient storage space, chairs, and lighting. The facility had a supply of additional linens and towels. LPA and DSP observed bathrooms were kept in sanitary conditions and provisions for hygiene items are available.

Kitchen and Dining Areas: LPA and DSP inspected the kitchen and found dishes, glasses, and utensils were in good condition and stored in a safe manner. LPA and DSP inspected food provisions and found a 2-day supply of perishable food and 7-day supply of non-perishable food items. LPA and Administrator reviewed the facility menu.

Common (living/activity) areas: LPA and DSP observed adequate seating in the common areas. LPA observed activities in the office. Facility staff updated the calendar of activities.