Facility Evaluation Report

Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to the conduct a required annual inspection. LPA initially met with staff clinician and staff therapist. Program Administrator Rudy Armendariz arrived during the visit.

LPA walked the exterior of the facility while LPA and staff toured the inside. LPA observed fire extinguishers are charged and last inspected on 12/12/2023. This facility is equipped with a fire alarm and sprinkler system that is tested and maintained by the County of San Bernardino authorized fire inspection agency. LPA tested carbon monoxide detector in the kitchen area and it was found to be in working order. LPA observed there are no pools or bodies of water at this facility. LPA was informed there are no firearms or ammunition stored at the facility.

The following were observed of the physical plant:

Client Bedrooms and Bathroom: LPA and staff observed sampled bedrooms to have the required bedding and furniture, such as, mattresses/linen, sufficient and secured storage spaces, chairs, and lighting. LPA observed bathrooms to be clean. Water temperature was tested and measured to be within regulation. Provisions for hygiene items, extra clothing, and linen are available but secured.

Kitchen and Storage Areas: LPA and staff inspected the kitchen and found dishes, glasses, and utensils were stored in a safe manner. LPA inspected food provisions and found at least at 7-day supply of non-perishable food items and 2-day supply of perishable food. Storage areas hold chemicals and other supplies, including emergency supplies. Storage areas are kept locked and inaccessible to clients. Modified diets and food allergen lists are posted.

Common (living/activity) areas: LPA and staff observed adequate seating in the common areas. LPA observed sufficient activities in designated areas. Clients have access to devices to discuss personal and confidential information privately. A schedule of activities was reviewed.

Client Records: LPA and staff inspected two client files and found all to have the required documentation, including but not limited to, admissions agreement and medical/nursing assessments.