Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 08:36AM. The LPA initially met with Licensee Julia Espena. LPA explained the reason for today's visit. The Administrator was contacted via telephone and arrived at 09:23AM. Entrance interview conducted.

The facility is vendored through Tri-Counties Regional Center as a level 3 home.

Beginning at 09:40AM, the LPA, along with Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was observed:

Individual smoke alarms and separate carbon monoxide detector were tested between 11:26AM - 11:30AM and all functioned properly. The fire extinguisher was observed to be fully charged and purchased on 07/06/2022.

COMMON SPACES: Living room, dining room, and activity room furniture was observed to be in good condition. The LPA observed the required postings upon entry and throughout the common areas.

OUTDOOR SPACE: The backyard patio contains a shaded area and is equipped with furniture for clients' use. An outdoor shed was observed to be locked. All passageways and exits were observed to be clear and free of hazards.

BEDROOMS: The LPA observed three shared client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The facility also contains a locked staff room.

RESTROOMS: 1 (one) restroom is designated for shared client use and 2 (two) are private restrooms, attached to client bedrooms. Client restrooms were observed to be clean and sanitary and in operating