Facility Evaluation Report

Licensing Program Analysts (LPAs) Simi Rai and Mita Partoza conducted an unannounced Required 1 Year visit and met with Administrator/Licensee (LIN), Melda Riparip Antonio. LPAs observed 2 staff at the facility. 4 residents were attending day program.

During visit, LPAs toured the inside and outside of the facility. When touring the outside area of the facility, the exits were cleared of obstruction. LPAs observed the backyard wall facing the facility is shared with the freeway. There is a door that leads to the freeway and LPAs observed the door to be bolted into the wall and cannot be opened.

LPAs toured the facility kitchen and observed food supply of at least 2 days of perishable food and at least 7 days of nonperishable food. Sharps and medications were locked in secured areas. LPA observed additional food supply areas and secured areas for cleaning supplies and laundry detergents.

LPA Rai and LPA Partoza observed a closet in the backyard that was locked. LIN opened the closet and stated Staff (S2) uses the closet for personal items such as clothes and personal grooming. LIN stated Staff (S2) will sleep in the sofa in the living room overnight while S2 works in the facility 5 days in a week. LIN stated the facility does not have fire clearance for the living room to be used as a bedroom.