Facility Evaluation Report

Licensing Program Analysts (LPAs) Michelle Echeverria, Lavette Farlow and Becky Mann arrived unannounced to conduct the required annual visit to the facility. LPAs met with Licensee, Vana Marie Justice, and introduced self and stated purpose of the visit. LPAs were informed that there is 1 client home and 3 in day program.

The facility has 4 bedrooms, 3 bathrooms, living room, kitchen, dining area, family room, laundry room, attached garage, and backyard. The facility is not vendorized by Inland Regional Center. LPAs completed a walk through of facility, review of records, medication and P&I audit.

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 comfortable temperature of 77 degrees fahrenheit. LPAs inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. LPAs observed that there were 2 client chairs missing. Deficiency issued. LPAs inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 111.6 degrees fahrenheit. LPAs observed that the facility did not have sufficient linen for clients in care. Deficiency issued. The facility is equipped with operational smoke detectors, carbon monoxide alarms and charged fire extinguisher. Posters such as; the personal rights, CCL complaint poster and disaster plans were posted in a common area. LPAs observed that the emergency disaster plan was not reviewed/updated since 7/28/16. Technical violation issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients. There was a designated storage space for client/staff files. Medications and first aid kit were observed in secure cabinets and inaccessible to clients. There are no firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service : Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a wide variety of food available for clients. Dishes, cups, and utensils were also stored properly. LPAs observed that the pantry had a lock which is locked at night for clients to not have access per administrator statement. Deficiency issued.