Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced to conduct an annual inspection. The LPA met with Staff. The facility is an adult residential facility funded by Valley Mountain Regional Center with a current census of 4. Facility has 4 bedrooms and 3 bathrooms. Three bedrooms are for resident use. Facility has a formal dining area and a formal living room. LPA and Staff inspected the physical plant to ensure the health and safety of the clients in care. LPA inspected the facility with Staff including but not limited to the kitchen area, resident rooms, bathrooms, dining room, and storage areas. The facility had the required carbon monoxide detectors. The facility is free of odor, however the facility had multiple building and grounds violations: the front and back yards are in need of service the grass is over grown and needs trimming and edging, there is debris on the back area on the patio, there is debris on the back fence area by the storage shed, the shed is open and needs cleaning or organizing, the pool that is fenced needs draining and covering, the shower needs a drain plug, the floor is cracked in the residents bathroom, the bathroom needs a screen for the window above the shower and the floor heater vent is bent with sharp edges. LPA observed sufficient lighting throughout the facility. Fire extinguishers and smoke detectors are current and in compliance with fire safety. Fire drill was conducted on 1/5/2025. LPA reviewed four (4) client files and two (2) staff files, including criminal record clearances. LPA observed centrally stored medications locked in then medication room. LPA reviewed and compared resident medication vs. resident medication logs. LPA reviewed resident and staff files, and interviewed both. All staff were cleared and associated to the facility. First aid kit was checked and is complete. Citation given. Exit interview conducted.