Facility Evaluation Report

Licensing Program Analyst (LPA) Cheryl Goodrich arrived at 3:04 p.m. to conduct an unannounced annual visit. LPA met the Administrator Binda Jammu at the front door and was granted entry. The purpose of today’s visit is to inspect the facility to ensure that the facility is following California Code of Regulations, Title 22, Division 6. Facility is approved for six (6) developmentally disabled residents with 6 residents in care

Infection Control: The facility has an approved infection control plan and a surplus of supplies for infection control including but not limited to mask, gloves, gowns, first aid kit, and cleaning supplies.

Physical Plant and Environmental Safety : The facility temperature read at 73 degrees. The facility consists of 3 resident bedrooms, and 2 bathrooms, living room, kitchen, and backyard. The bedrooms are furnished with lighting, closet space, and dresser. The beds are clean and have clean linens and the pathways are clean and clear of obstruction. The bathroom temperature read at 116 degrees within regulation requirements. The living room and kitchen clean and clear of obstruction. The medications are stored in a locked medication cabinet in the extra room and inaccessible to the resident. The facility and has a current fire clearance, smoke and carbon monoxide detectors and fire extinguishers and are in working order.

Personnel Records-Training: The staff records are completed with fingerprint clearance, Health screening for TB, CPR/First Aid training, and in-service trainings.

Client Records-Incident Reports: The facility has identification and emergency information, physician’s report, resident appraisal, IPP, client rights, and admissions agreements.