Facility Evaluation Report

At approximately 9:15 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by a facility caregiver. Charmaine Infante, House Manager, was contacted and arrived shortly after. Facility is an Adult Residential Facility with four (4) ambulatory clients in care. LPA was informed that three (3) clients left for Day Program; one (1) client was present during visit.

At approximately 9:45 AM, LPA initiated a tour of the facility with House Manager and observed the following: Facility is a one story home, was a comfortable temperature, and passageways were free from obstructions. The living room ceiling was observed with cracks present: one situated in the joint where the ceiling and wall meet which is approximately 3 feet long, and the other is water stained, approximately 5 feet long, and extending perpendicular off of the previously mentioned crack towards the center of the ceiling. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed two light bulbs burned out in one client bathroom and one in the other client bathroom. LPA observed a supply of clean linens and paper products available to clients. Clients' bedrooms were inspected and LPA observed a damaged curtain rod in one bedroom and two bedrooms without lighting. House Manager states this is due to the two clients in these rooms exhibiting documented destructive behaviors as noted in their IPPs. House Manager and IPP state lights were removed for the safety of these two clients. LPA observed the client bedrooms to contain all of the remaining 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 three bottles of laundry detergent on the dresser in a staff bedroom. House Manager had staff lock the detergent away in the facility laundry area. LPA advised House Manager to ensure all cleaning supplies, detergents, and chemicals remain inaccessible to clients at all times. Facility has at least two days of perishable food and a supply of non-perishable foods. LPA advised House Manager to increase emergency food and water supply to ensure facility can sustain all clients in care for 7 days if needed.