Facility Evaluation Report

Licensing Program Analyst (LPA)Bernadette Allen made an unannounced Required Annual visit to the above referenced facility. LPA was granted access to the home by Administrator Barbara Dancy. LPA informed Administrator of the purpose for today’s visit, was to inspect the facility to ensure the facility follows rules and regulations of California Code of Regulations. LPA conducted a general overall inspection, which included, but was not limited to, the following: physical plant; interior and exterior and records review.

Physical Plant: The home consists of (6) bedrooms, (4) restrooms, a living room, office, kitchen, dining area, garage, and backyard area. Per Barbara Dancy, no ammunition is kept in the home. Resident bedrooms were clean and were observed to have the required furniture, bed linens, proper lighting, drawer/closet space to accommodate each resident. A pool and spa were observed, and the gate was found to be locked.

LPA observed the schedule of planned client activities. The facility is stocked with a two-day supply of perishable and seven-day supply of nonperishable food items. Medications: are stored in a locked cabinet and administered according to the label instructions. Sufficient staff is employed and present in the facility to meet the needs of the consumers in care.