Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian arrived unannounced to the facility for a required annual inspection. Facility is an Adult Residential Facility licensed for four (4) non-ambulatory clients. LPA met with Administrator Aprillelyn Panaligan . At the time of the visit, two (2) clients were present at the facility, one (1) away at Day Program.

LPA toured the facility inside and outside. Outdoor and indoor passageways were kept free of obstruction. The facility has charged fire extinguishers, operating fire alarm systems, and carbon monoxide detectors. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. LPA toured the client bedrooms. The client bedrooms had the required furniture and functional lighting. The facility had a supply of additional linen and extra hygiene items for the clients. The facility had a complete first aid kit available and the last disaster drill was conducted on 4/22/2023. Cleaning supplies, medications, and sharps were kept locked and inaccessible to the clients. Cleaning supplies were stored in the storage and laundry areas. Centrally stored medications were kept in a safe and locked cabinet. LPA toured the client bathrooms. LPA measured the hot water temperature in the bathrooms and kitchen. The hot water temperature in the client bathroom measured 113 degrees Fahrenheit. LPA observed emergency supplies in the garage. The outside of the facility had a shaded area with a table and chairs. The facility pool is gated and locked, inaccessible to clients with a fenced perimeter.

LPA reviewed staff and client files. Staff files had the required documentation including a health screening report and first aid/CPR certification. Administator file was reviewed and is complete with all required components. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. LPA observed Client 1’s placement checklist lacked the required “No objection to placement” component. Administrator stated she will follow up with Inland Regional Center Coordinator. Technical Violation was issued.