Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with staff, Patricia Torres and introduced self and stated purpose of the visit. LPA called and informed the administrator, Darleene Simpson about the purpose of the visit. LPA was informed that all clients in care were in day program.

The facility has 4 bedrooms, 3 bathrooms, kitchen, dining area, living room with office area, laundry room, attached garage, and backyard. The facility is vendorized by Inland Regional Center. LPA completed a walk through of facility, review of records, and medication 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 76 degrees fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. LPA observed a missing chair in a client's bedroom. Deficiency issued. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. LPA observed that each client purchases their own linen and the facility does not have a supply of linen. Deficiency issued. LPA observed that each client purchases their own hygiene supplies and facility does not have a stock of hygiene supplies purchased by the facility. Deficiency issued. Water temperatures tested at 112.6 degrees fahrenheit. 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. LPA observed that the emergency disaster plan was not reviewed/updated annually. Deficiency issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept secured and 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. The facility had emergency kits in the garage for clients in care. There are no firearms or ammunition in the facility. LPA observed a broken kitchen drawer next to the sink. Deficiency issued.

Food Service : Non-perishable and perishable food supply is not sufficient for number of clients in care. Deficiency issued. Dishes, cups, and utensils were also stored properly.