Facility Evaluation Report

Licensing Program Analyst (LPA) Cheryl Goodrich arrived at 1:16pm to the facility to complete the unannounced required - 1 year annual inspection. LPA met with Administrator, Cynthia Meyer 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 in compliance with California Code of Regulations, Title 22, Division 6. The facility is approved for 6 non-ambulatory disabled adults ages 18-59. The facility is approved for gastrostomy feeding and diabetics requiring glucose testing only.

Infection Control: The facility has an approved infection control plan and a surplus of infection control supplies including but not limited to gloves, masks, gown and cleaning supplies.

Operational Requirements: The facility has a plan of operation, an approved infection control plan, and has an approved fire clearance and liability insurance.

Physical Plant & Environmental Safety: The facility is a one story home located in residential Vista, CA. The facility temperature read at 72 degrees. The facility has 6 bedrooms, and 3 bathrooms, living room, kitchen, dining room and backyard. The bedrooms have beds with clean linen, dresser, TV and closet space. The bedrooms are clean and clear of obstruction. The bathroom temperature read at 105 degrees which is within regulation requirements. The kitchen, living room and dining room are all clean and clear of obstruction. The medications are kept in the kitchen and inaccessible to residents in care. The facility has no bodies of water on the premises.

Staffing: The facility has 2 staff members on site to care for the 6 residents in care during the day and 1 staff member on site during the night. The facility has adequate supervision of the residents in care.