Facility Evaluation Report

Licensing Program Analyst (LPA) Beena Singh made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA Beena Singh greeted by the Facility Staff- Raul Venegas, and was granted entry to the facility. Facility administrator was contacted and arrived during the visit. At the time of the visit there was one(1)staff and (1) client were present and three(3) clients were at the day program. The facility is a four (4) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is an Adult Residential Facility (ARF) level 4g home vendorized by Inland Regional center Licensed capacity is (4) current census (4). LPA Beena Singh was accompanied by Griselda Reyes, Facility administrator, to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA Beena Singh inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Beena Singh observed sufficient furniture and lighting throughout the facility. LPA Beena Singh measured and observed the water temperatures in the bathrooms to be within regulations. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside medication closet inaccessible to clients. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.