Facility Evaluation Report

On 04/09/2024 at 10:55 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection to the facility. LPA Brown met with a staff. Administrator Dominador Bartolata III was contacted and arrived during the visit. LPA Brown explained the purpose of today's visit to Administrator Dominador Bartolata III.

The facility has 4 bedrooms, 2 bathrooms, kitchen, dining room, living room, attached garage, and backyard. The facility is vendorized by Inland Regional Center. LPA Brown completed a walkthrough of the facility, review of records, P & I audit and medications audit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA Brown observed two (2) clients during the visit. One (1) client's out in the community. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 74 degrees Fahrenheit. LPA Brown inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs, and sufficient lighting. LPA Brown inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 111 degrees Fahrenheit. The facility is equipped with operational smoke detectors, charged fire extinguisher but LPA Brown observed one (1) carbon monoxide detector not working. Deficiency will be issued. Administrator Bartolata III repaired the carbon monoxide detector during the visit. LPA Brown observed first aid book but incomplete first aid kit. Deficiency will be issued. Administrator Bartolata III brought a complete set of first aid kit during the visit. In addition, LPA Brown observed no night lights maintained in hallways and passages to non-private bathrooms. Deficiency will be issued.