Facility Evaluation Report

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection Visit. The facility file was reviewed prior to the visit. The LPA identified himself and disclosed the purpose of the visit to Administrator Yuri Vega. Licensee Bradley Sorenson arrived during the visit.

The facility was licensed for a capacity of four (4) ambulatory residents. The census for today's date was three (3). All clients were off site during the visit.

The LPA, accompanied by the administrator, toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Personal Protective Equipment was present. The facility had sufficient space to facilitate dining, laundry, visitation, meetings, and client activities.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, as required, and stored in locked areas.

No pools or bodies of water were observed in the premises. Per administrator, no firearms nor ammunition were kept at the facility. Required licensing postings were observed in visible areas of the facility.

The LPA interviewed the administrator and reviewed staff and client records. At least two (2) staff files did not have a 1st aid certificate. This deficiency was cited in accordance with California Code of Regulations, Title 22, on an LIC 809D.