Facility Evaluation Report

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility unannounced to conduct a required annual visit. LPA met with Residential Supervisor (RS) Inguilber “Ingui” Alcantar and reason for the visit was explained. Facility Compliance Specialist Regan Mew joined to assisted LPA with the inspection of client and personnel records.

Beginning at approximately 11AM, the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS (TREATMENT/THERAPY/OFFICE AREAS): At the time of the visit, treatment, therapy, and office furniture were observed to be in good condition. The LPA observed clients in common areas using computers at the time of the inspection. Group and individual activities are available. The facility maintained a comfortable temperature. LPA observed several fire extinguishers throughout the facility that were fully charged and last serviced 02/24/2025. LPA observed required postings throughout the common space. There is a separate laundry room, which is kept inaccessible to clients and contains locked detergents. KITCHEN: Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected for expiration dates. Food items had clearly marked expiration and dates opened labels. Knives, sharps, cleaning supplies, and disinfectants are stored inaccessible in the locked Care Coordinator office. SURROUNDING GROUNDS: The backyard has a covered outdoor area equipped with furniture for client use. LPA observed a fenced swimming pool, which is kept locked and inaccessible to clients. BEDROOMS: There are three (3) double occupancy client bedrooms located on the second floor. All client bedrooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. There is no staff room at the facility. (Continue)