Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required 1 Year inspection at the facility today. When the LPA arrived there were four staff and six clients present. The LPA explained the reason for the inspection. The Administrator Venie Gonzales was contacted during the inspection but was unable to come to the facility. The Administrator gave permission for staff to sign the report. This home is vendored by Tri-Counties Regional Center as a level 4-I home.

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 : 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 stored. Knives and sharp items that could pose a danger are stored in a cabinet in the kitchen. During the visit at 1:07 PM, the LPA observed the cabinet to be unlocked. Medications are stored in a locked cabinet in the dining room area.

COMMON SPACES: In the common areas, furniture, walls, and flooring were clean and in good condition at the time of the inspection. All indoor and outdoor passages were free of obstruction. The fire extinguisher was fully charged and last serviced 07/23/2023. At 1:26 PM, the carbon monoxide detector and smoke detectors in the common areas and bedrooms were tested and were operational. The backyard has outdoor seating for client use.

RESTROOMS: The facility has one private and one common restroom for client use. Restrooms were observed to be clean and sanitary with hand soap, toilet paper and paper towels. At 1:14 PM, the hot water temperature was measured in the hallway common restroom and it measured at 109.5 degree F.