Facility Evaluation Report

Licensing Program Analyst (LPA) LaVette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Administrator Tracey Coleman and was granted entry to the facility. At the time of the visit there was two (2) staff present, and two (2) client was attending Day Program. The facility is a three (3) bedroom, two (2), bathroom home, with a kitchen/dining area, living room, with open driveway. The facility is an Adult Residential Facility (ARF) Level 6, home Vendorized by Inland Regional Center. Licensed capacity is (3) current census (2). LPA was accompanied by 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 78 degrees F. LPA inspected client’s 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 observed sufficient furniture and lighting throughout the facility. LPA measured and observed the water temperatures in the bathrooms to be 117.9 and 120.2 degrees F. 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. LPA observed the LIC610D Emergency Disaster Plan had not been reviewed and updated since 2021. A Technical Violation issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for client/staff files. Medications are kept inside file cabinet inaccessible to clients in care. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. At approximately 2:30 PM, LPA Farlow observed expired non-perishable can goods food in the pantry. A Deficiency cited. LPA observed during the facility tour there was scissors in the bottom drawer next to the refrigerator. At the time of the observation all clients were at the Day Program. A Deficiency cited .