Facility Evaluation Report

Licensing Program Analyst (LPA) Kristin Kontilis conducted an unannounced one-year required inspection at the above-named facility. Upon arrival, there were five residents in care and three staff on duty. One resident was attending a day program at the time of LPA’s arrival. LPA was greeted by Staff 1. LPA explained the purpose of the visit. Administrator Venie Gonzales arrived at approximately 1:00 pm. Co-Administrator Vanessa Garcia arrived at approximately 1:36 pm. Administrator and Co-Administrator shared the facility inspection responsibilities in different capacities.

The facility is an Adult Residential Facility licensed as a home for a capacity of six (6) individuals with developmental and physical disabilities of which two (2) may be non-ambulatory. The facility maintains a service contract with Tri-Counties Regional Center for all six residents.

The kitchen incudes, microwave, toaster oven, coffee pot, refrigerator, dishwasher, rice cooker, and a stove and oven. LPA observed a sufficient amount of perishables for 2-days and non-perishables for 7-days. The fire extinguisher is located in the kitchen area near the kitchen sink. It was last serviced on 6/12/2024.

The common areas include the living room upon entry and a dining area off the kitchen.

There are four private bedrooms and one shared bedroom. The shared bedroom has a private bathroom for two residents. LPA observed bedrooms to be clean and properly furnished with nightstands, lighting, and dressers.

There is one restroom off the hallway that provides access to all residents. The private bathroom off the shared bedroom (Bedroom 2) is for residents who reside in Bedroom 2 only. Bathrooms were observed to be clean, in good repair, and grab bars were secure.

The LPA toured the physical areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations.