Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted and granted entrance by Lead Staff, Nancy Tate. LPA introduced self and stated the purpose of the visit. LPA toured the facility inside and outside with staff.

The facility has 4 bedrooms, 2 bathrooms, a kitchen, dining area, living room, laundry room, attached garage, and backyard. The facility is vendorized by Inland Regional Center. LPA completed a walk through of facility, medication audit, P&I audit and review of records.

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 74 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 that the facility did not sufficient comforters, mattress protectors and towels for the clients. Deficiency issued. 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 110 degrees Fahrenheit. The facility is equipped with operating fire extinguisher, smoke detectors, carbon monoxide alarm and functioning video cameras in the common areas. Posters such as; the personal rights, the CCL complaint poster, and visiting policy were posted in a common area. 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. There are no pools, bodies of water, firearms or ammunition.

Food Service : Non-perishable and perishable food supply is not sufficient for clients in care. LPA observed that the facility did not have the required supply of food. Deficiency issued. Dishes, cups, and utensils were also stored properly.