Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conclude the required Annual visit initiated on 11/19/2024. LPA introduced self and stated the purpose of the visit to Assistant Administrator, Dameon Lester.

The facility has 4 bedrooms, 2 bathrooms, a kitchen, dining area, entry/office room, family room, 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 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 75 degrees fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. LPA observed a trail of ants in the clients bedrooms and bathrooms. Deficiency issued. Water temperatures tested at 121.9 degrees fahrenheit. LPA observed the following: a leaking refrigerator, broken kitchen cabinet, holes in the bedrooms walls, bathroom walls, bedroom doors and dirty floors. Deficiency issued. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher, first aid kit, emergency kits and emergency food and water. Posters such as; the personal rights, disaster plans, and CCL complaint poster were posted in a common area. LPA observed accessible chemicals, detergents and medications in the kitchen cabinet, laundry room, and clients bedrooms. Deficiency issued. There was a designated storage space for client/staff files. Medications was observed locked and inaccessible to clients. There is no swimming pool, bodies of water, firearms or ammunition in the facility. LPA observed no lighting in entry/office area and restricted lighting in the clients bedrooms. Deficiency issued. LPA observed that the facility did not have deodorants for the clients. Deficiency issued.