Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno made an unannounced visit to the facility to conduct a required annual inspection. LPA identified herself to direct support professional (DSP) staff who was advised of the purpose of the visit. Staff phoned administrator Michael Covarrubias who arrived during the visit.

The facility is currently licensed as an Adult Residential Facility, vendored by the Inland Regional Center. The facility has capacity of four client, two of whom may be nonambulatory. Two staff and two clients are present at the facility during today's visit.

LPA Bueno and DSP Torres toured the interior and exterior of the facility. The facility has no bodies of water. There is a shaded area in the backyard for client use. LPA and DSP observed that side gate was unlocked and free of obstruction. The facility has working telephone for use and internet service accessible to all clients. The facility fire extinguisher was last inspected on 11/23/23 and were observed to be charged. DSP tested the carbon monoxide detector while Administrator Covarrubias tested the smoke detector - all units were found to be in working order. A locked centralized medication cart was observed while client and staff files and facility records are kept secured. Sharps, toxins, and cleaning agents are in locked closets and cabinets.

The following were observed of the physical plant:

Client Bedrooms and Bathroom: LPA Bueno and DSP Torres observed all bedrooms to have the required bedding and furniture, such as, clean mattresses/linen, sufficient storage space, chairs, and lighting. The facility had a supply of additional linens and towels. LPA and DSP observed bathrooms were kept in sanitary conditions and provisions for hygiene items are available.

Kitchen and Dining Areas: LPA and DSP inspected the kitchen and found dishes, glasses, and utensils were in good condition and stored in a safe manner. LPA and DSP inspected food provisions and found a 2-day supply of perishable food and 7-day supply of non-perishable food items. LPA reviewed the facility menu.