Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with caregiver Rosalia Reclusado and informed her of the reason for today's visit. When the LPA arrived there was one caregiver and two clients present. The other clients are currently attending their day programs. Licensee Representative Venie Gonzales was contacted at 10:50 AM and informed of the inspection. Gonzales is unable to come to the facility for the inspection, therefore, gave permission for the caregiver to sign the report.

This annual had a specific emphasis on infection control practices and procedures. The LPA 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 observed:

KITCHEN : At 10:52 AM, the kitchen and food storage areas were observed. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food and emergency water in the garage.

COMMON SPACES: All indoor and outdoor passages were free of obstruction. At the time of the visit, living room and dining room furniture was observed to be in good condition. The fire extinguisher is fully charged and last serviced on 07/06/2022. At 11:00 AM, the carbon monoxide detector and smoke detectors in the home and bedrooms were tested and were operational. Medications are locked and centrally stored in a cabinet in the hallway. There is outdoor seating for client use. Cleaning supplies are stored in a locked cabinet in the garage.

BEDROOMS: There are four client bedrooms and no staff room. The LPA observed the client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.