Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a one year required annual at 02:52PM. The last annual conducted at this facility was on 03/19/2024. Upon arrival, the LPA met the Administrator, Charles Jimenez and the reason for the visit was explained. Entrance interview conducted.

Beginning at 02:57PM, the LPA along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted:

TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: There is a Learning Lab, 2 (two) offices and a staff restroom upstairs. Downstairs contains a group/living room, and additional office/individual therapy spaces. Medications are stored in a locked ground floor Medication Room. The medication room has adequate locked storage, as well as a locked refrigerator. The 1st Aid Kit, which was observed to be complete, is stored in the Medication Room. The Offices are kept inaccessible to clients unless properly supervised.

COMMON AREAS: The LPA observed clients in common areas at the time of the inspection. All furniture, walls and flooring was observed to be in good condition. Activities are designed for both as individuals and groups. The facility maintained a comfortable temperature throughout the visit. There are several fire extinguishers throughout the facility; they all were fully charged and were last serviced 02/24/2025. The LPA observed required postings throughout the common space. At 03:33PM, the hardwired combination smoke and carbon monoxide detectors were tested and were operational at the time of the visit. Fire and earthquake drills are conducted monthly.