Facility Evaluation Report

Licensing Program Analysts (LPAs) Eldin Serrano and Matthew Aguilar arrived unannounced to conduct the required annual visit to the facility. LPAs met with Quality Assurance Jasmine Garibay and introduced self and stated the purpose of the visit. LPAs were informed that there are currently 16 clients in care in the facility.

The facility has 11 client bedrooms, 6 bathrooms, offices plus staff bathrooms, kitchen, pantry, dining area, quiet room, nurses room with offices, medication room, client storage room, interview room, security room, web area, emergency supply room, family room, entertainment room, laundry room, linen room, electrical storage room and shaded patio. LPAs 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 75.7 degrees Fahrenheit. LPAs inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting. LPAs inspected client bathrooms; bathrooms appliances were found functional. Water temperatures tested at 117.1 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms and seven (7) charged fire extinguishers. Posters such as; the personal rights, visitors rules, and CCL complaint poster were posted in a common area. Cleaning supplies, toxins, sharps and other dangerous items were kept secure locked and inaccessible to clients. Clients/staff files are kept locked inside the office. Medications and first aid kits were observed locked and inaccessible to clients. LPAs observed plenty of towels, linens and comforters in the linen room. There are no firearms, ammunition, swimming pool or bodies of water in the facility. Overall, the facility is in good repair, and operating in safe conditions for clients in care. LPA observed the the facility do not have an updated emergency drill. Deficiency issued.