Facility Evaluation Report

Licensing Program Analyst (LPA) Rayshaun Nickolas made an announced visit to the facility to conduct a pre-licensing inspection for an initial application. LPA Nickolas identified herself to Licensee, Edward Magtoto, and explained the purpose of the visit.

The pending application is for an Adult Residential Facility (ARF). The facility has been granted a fire clearance for a total capacity of 20 ambulatory clients by the San Bernardino County Fire Protection District on 06/22/2022. The facility has a total of ten resident bedrooms, four resident bathrooms, one staff bedroom, one staff bathroom, a visitor restroom, a kitchen/dining area, a living room, an activity area, an office area, and backyard. LPA toured the interior and exterior areas of the facility. The following was inspected:

LPA inspected bedrooms; the bedrooms have the required bedding and furniture, such as, clean mattresses/linen, sufficient storage space, chairs, and lighting. LPA inspected bathrooms; the bathroom appliances were operating in safe and sanitary conditions and contained appropriate hygiene items for clients. LPA inspected the kitchen; knives, cleaning supplies, and toxins were inaccessible to residents and stored away from food supply. Dishes, glasses, and utensils were in good condition and stored in a safe manner. The kitchen countertop, floors, and appliances were free from debris. There was also a meal menu available for review. LPA inspected the common areas; LPA observed a charged fire extinguisher, operating smoke detectors, and carbon monoxide alarms at the time of visit. LPA observed required postings including visitation policies, personal rights, and the facility's emergency/disaster plan. The facility was equipped with a complete first aid kit. There was a locked and centralized storage area for medications and area for client files and staff files. The facility had a working telephone for client use. There was adequate seating in the common areas. LPA inspected the outdoor space.

The Component III Orientation was completed during the pre-licensing inspection.