Facility Evaluation Report

On 01/26/2024 at 08:40 AM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced to conduct the required comprehensive annual inspection to the facility. LPA met with Licensee/Administrator Barbara Dancy, introduced self and stated the purpose of the visit.

The facility has six (6) bedrooms, four (4) bathrooms, kitchen, dining room, living room. The facility is vendorized by Inland Regional Center (IRC). LPA Brown completed a walkthrough of the facility, review of records, medication audit and P&I audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA Brown observed no client at the facility. Licensee/Administrator Dancy reported that all of their four (4) clients are out in the community. There are no obstructions to indoor and outdoor passageway. The facility is maintained at a comfortable temperature of 71 degrees Fahrenheit. LPA Brown inspected client bedrooms; they are equipped with required furniture such as: mattresses, storage space, chairs, night stands and sufficient lighting. LPA Brown inspected client bathrooms; bathrooms were clean, and appliances were found functional. However, LPA Brown observed (three) client cloth hand towels in the client shared bathroom. Technical Violation issued. Water temperatures tested at 108 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide detectors, charged fire extinguishers, and first aid kit with first aid book.

Posters such as; the personal rights, CCLD complaint poster, emergency disaster plan were posted in a common area. Sharps and medications were kept in secure cabinets inaccessible to clients. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility. Overall, the facility is clean, and operates in safe conditions for clients in care. *** Continuation in LIC809C ***