Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 5/26/2023 at 02:54 p.m. LPA was granted entry and met with Licensee, Mirjana Radjenovic who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (4) clients present.

The facility is a two story home with (6) bedrooms and (5) bathrooms with attached garage. No pools or firearms are being kept at the facility. The facility is licensed for the first floor only for clients with (4) bedrooms and (3) bathrooms. The clients served are adults between the ages of 18-59. The facility is not vendorized with a regional center. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients in locked kitchen drawer. The smoke detector and carbon monoxide were operational, and the hot water temperature 105F.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.

Care & Supervision / Administration: Adequate staff are present for the supervision of clients during the visit. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The listed administrator has submitted their administrator's certificate and is pending renewal.