Facility Evaluation Report

Licensing Program Analyst (LPA) LaVette Farlow arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by Grace Palomares (Administrator) and granted entry. LPA began inspection with introduction, purpose of the visit and provided the facility Administrator with LPA identification and business card. The facility is an Adult Residential Facility (ARF) level 2, designated home vendor by Inland Regional Center. The facility has 3 client bedrooms, 1 staff office, 1 staff bedroom and 2 bathrooms, kitchen, dining area, living room, laundry room, attached garage, and backyard. LPA completed a walk through of the facility and review of records.

Physical Plant and Safety of Environment/Operational Requirements - LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature for the residents. Lighting is sufficient for safety and comfort. Water temperature measured 105.7 and 109.7 within range. Grab bar chair is present in the restroom. LPA observed a locked cabinet under kitchen sink and locked drawer with sharps with cleaning supplies. Hallway closet with extra linen, and hygiene products. LPA observed cleaning supplies and chemicals was locked, and inaccessible to residents in care.

Fire extinguishers are charged, and mounted. All outdoor and indoor passageways are free of obstruction. Night lights and emergency lighting is present. A locked area is provided for medications. There is a telephone working at this location. The LIC 610E, emergency disaster plan is maintained. Emergency Drills and Fire Drills are being maintained. The facility has a current written emergency plan of operation. The facility is maintained in conformity with the regulations adopted by the state fire marshal. P&I was accessed and verified by Administrator.