Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required - 1 Year inspection and met with staff. Co-Administrator Joemar Ong arrived shortly after the inspection began.

The facility is vendored by Tri-Counties Regional Center as a level 4-I home. 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.

KITCHEN : Beginning at 1:58 PM, the kitchen and food storage areas in the garage were observed. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food stored in the kitchen and garage. Cleaning supplies and items that could pose a danger were secured and locked in the garage or locked storage.

COMMON SPACES: The common areas, including walls, furnishings, and flooring were checked for cleanliness and good condition. All indoor and outdoor passages were free of obstruction. The second story of the home is for staff use only and is secured by a locked door. The fire extinguisher was fully charged and last serviced on 02/08/2022. Beginning at 2:03 PM, the carbon monoxide detector and smoke detectors in the common areas and the two resident bedrooms were tested and were operational. Medications are centrally stored in a locked cabinet in the hallway. Linens were stored in a closet. Cleaning supplies were observed to be locked in the garage and inaccessible to residents in care. The backyard has covered seating for resident use.

BEDROOMS: There are two resident bedrooms on the first floor for resident use. The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Report continued on LIC 809-C.