Facility Evaluation Report

On 10/13/2023, Licensing Program Analyst (LPA) Tobola conducted an unannounced Annual Required – 1 yr. Inspection for this facility and was greeted by Licensee, Selene Cruz-Astroga. The facility currently provides care for 2 clients, both of which were attending day program or on outings at the time of visit. LPA continued with a tour of the facility with staff. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher purchased within the last year. The Licensee will be contacting fire inspection agency to conduct fire extinguisher inspection and submit photo proof of charge once completed. Smoke and carbon monoxide detectors were found throughout the facility, tested and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were stored properly as per regulations on this day at the time of the visit. Water at faucets accessible to clients was measured at 109.2 degrees F which is within Title 22 Regulations. Client bedrooms were well maintained and had appropriate bedding and furnishings.

Facility conducts and records emergency disaster drills on a quarterly basis with emergency exits signs and evacuation plans clearly posted. Medications are located in a designated closet located in the hallway and found to be secured. A spot medication count was conducted for clients and found to be in order along with properly documented centrally stored medication records. LPA conducted a review for staff files and found all staff to have 1st Aid & CPR certification and annual training on file. In addition, LPA reviewed all client records and found all documents including Needs & Service Plan, North Bay Regional Center Individual Program Plans and Physician's Reports to be current. One out of two clients are currently attending day program 5 days per week, with the second client in the process of identifying an appropriate job or day program. There is a sufficient supply of linens, hygiene product and paper products available for client use. Client P&I funds were also observed to be secured and not commingled, reviewed and found to be in order.