Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted by Licensee/Administrator Soksanroza Chea Nguyen. LPA toured the facility inside and outside with the Licensee. LPA observed that there are currently no clients admitted to the facility.

The facility has three (3) client bedrooms, two (2) client bathrooms, one (1) staff bedroom with bathroom, living room, kitchen, pantry, dining area, activity room, laundry room, attached garage and back yard. LPA toured the interior and exterior areas of the facility. The facility is a specialized home pending vendorization by Inland Regional Center.

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 73 degrees fahrenheit temperature. LPA inspected clients bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA observed an adequate supply of linens stored in a closet in the hallway. LPA inspected client bathrooms; bathrooms were clean and appliances were operating appropriately. LPA tested the water temperature in the bathroom faucet, which tested within regulation at 105 degrees fahrenheit. The facility is equipped with operating fire extinguisher, smoke detectors and carbon monoxide alarms. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked. There was a designated locked storage space for client/staff files, first aid kit and medication. The facility had emergency supplies for future clients. There are no pools, bodies of water, firearms or ammunition. Overall, the facility is clean, in good repair, and operating in safe conditions for future clients in care.