Facility Evaluation Report

Licensing Program Analyst, LaVette Farlow (LPA) arrived at the Ami-Mariana House, Adult Residential Facility unannounced to conduct the Annual Inspection. LPA introduced self and stated purpose of the visit. LPA was greeted and granted entry by Care Providers, Jones "Frank" Sangkay. LPA was informed the Administrator, Vergel Santos was notified of LPA visit and arrived later during visit.

Facility: The facility is licensed and approved for five, (5) residents, one, (1) non-ambulatory and four, (4) ambulatory adults. The current census is (2) in the facility one (1) is away with family, and the other client is at the day program. The facility is operating at the capacity and in the conditions approved by Community Care Licensing (CCL). Also, the facility maintains a partnership with the Inland Regional Center, (IRC).

Physical Plant: LPA Farlow observed the facility to be within a comfortable temperature. Sufficient lighting is provided throughout the residence; by various light fixtures and night-lights. LPA observed numerous fire/smoke and carbon monoxide alarms throughout the facility. Devices were tested and found operational. Fire Extinguishers were fully charged and last inspected March 2024. Care providers report the facility holds monthly fire/disaster drills. LPA observed no pool or bodies of water on facility grounds. Interior and Exterior pathways were free of clutter and obstructions. Facility bathrooms included bathing areas with non-slip materials, handrails, operational toilet and adequate hand hygiene supplies. LPA tested the water temperature in the kitchen and bathrooms and the temperature were below regulations at 98.6, 99.1, and 102.0. Licensee attempted to adjust the levels, and was unsuccessful. A deficiency was cited. LPA observed the sink would not properly drain the water and the shower was not properly cleaned. A deficiency was cited. Each resident room contained a bed with adequate linens, ample storage space, sufficient lighting, seating and privacy for each resident. The living room spaces contained adequate seating for residents, guests and visitors.

Food Service: The food supplies are located in 3 refrigerators/freezers in the kitchen and garage. LPA observed sufficient amounts of both perishable and non-perishable for the amount of residents in care.