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) Kayln Dirks who was advised of the purpose of the visit. DSP Dirks phoned administrator Vivian Francisco. DSP Rebecca Ring arrived shortly and Administrator 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. Two staff and one clients were present during the visit.

LPA Bueno and DSP Ring toured the interior and exterior of the facility. The pool is enclosed in a locked gate. The facility has shaded areas for client use. LPA observed that side gate was unlocked and free of obstruction. The facility had a working telephone for use. The facility fire extinguisher was purchased and replaced on 10/5/23. DSP tested the carbon monoxide detector and found the unit to be in working order. Administrator stated that the smoke alarms are interconnected and tested the front room smoke alarm. LPA and Administrator observed all other smoke alarms working. 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 locked in cabinets..

The following were observed of the physical plant:

Client Bedrooms and Bathroom: LPA Bueno and DSP Ring observed all bedrooms to have the required bedding and furniture, such as, clean mattresses/linen, a chair, sufficient storage space, 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 inspected the kitchen and found dishes, glasses, and utensils were in good condition and stored in a safe manner. LPA inspected food provisions and found a 2-day supply of perishable food and 7-day supply of non-perishable food items. LPA reviewed the facility menu.

Common (living/activity) areas: LPA observed adequate seating in the common areas. LPA observed activities in the office. A calendar of activities was available for review.