Facility Evaluation Report

At approximately 8:55 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by DSP (S1). Higinia Alvis, Licensee/Administrator was contacted and arrived at approximately 10:40 AM. Facility is an Adult Residential Facility with three (3) Ambulatory Developmentally Disabled Clients in care, all of whom were away at Day Program. Licensee is venderized with North Bay Regional Center (NBRC) for level 3 clients.

At approximately 9:10 AM, LPA initiated a tour of the facility with S1 and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens available to clients. However, LPA observed no paper towels available in facility bathrooms for clients. LPA observed hand towels in the bathrooms and informed S1 and Licensee that to be in compliance, hand towels are not permitted. Licensee removed them immediately and placed paper towels in the bathrooms. Clients' bedrooms were inspected and observed to have all of the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. However, LPA observed facility door to laundry, storage, and staff bedrooms open throughout the duration of todays inspection making detergents, bleach, cleaning supplies, and other toxins accessible to clients in care. LPA advised S1 and Licensee to ensure all chemicals and toxins are stored and inaccessible to clients in care. Facility has at least two days of perishable food and one week of non-perishable foods, as well as an emergency water supply. LPA observed expired, freezer burned, and uncovered food stored in the facility refrigerator and freezers, as well as opened food not labeled with open/expiration dates on packages and containers. LPA discussed compliant food storage with Licensee who conveyed understanding and agreed to bring facility into compliance. Medications were centrally stored and locked. However, LPA observed S1 go to the laundry area and return with client medication bottles, which they then locked in the centrally stored medication cabinet in the facility main living area.