Senior Care Records.

Facility Evaluation Report

John a. Cutshall ARF 3, Victorville01/16/2025Licence 365530058

Capacity3
Census3
Date signed01/16/2025 12:37:35 PM
The inspector’s account

On 01/16/2025 at 9:35 AM, Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility to conduct the required comprehensive annual inspection. LPA was greeted by a staff and gained access to the home. LPA explained the purpose of the visit to DSP, Austin Cutshall.

The facility has five (5) bedrooms, three (3) bathrooms, kitchen, dining room, living room, attached three (3) garage, and backyard. The facility is vendorized by Inland Regional Center (IRC). LPA completed a walk through of the facility, review of records, medications audit and Personal and Incidentals (P&I).

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD), LPA observed one (1) client during the visit. Two (2) clients’ out in the community. There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 77 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, chairs, and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean, and appliances were found functional. Water temperatures tested at 114 degrees Fahrenheit. The facility is equipped with operational smoke detectors, four (4) carbon monoxide detectors, two (2) charged fire extinguishers, and first aid kit with first aid book.

Posters such as; the personal rights, CCLD complaint poster, labor laws, and emergency disaster plan were posted in a common area. Client medications were kept in a lock box in the pantry closet in the kitchen,

inaccessible to clients in care. LPA observed overhead lights in the hallway leading to shared bathroom. Administrator will provide nightlights for the bathroom. The facility had emergency kits, emergency food and water. There are no firearms and ammunition in the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction