Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 9:45 a.m., the LPA met with staff and explained the reason for the visit. At 10:03 a.m., the Administrator, Baron Graham arrived at the facility. The facility is vendored by Tri-Counties Regional Center as a level 4-I home.

Starting at 10:05 a.m., the LPA, along with staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards.

KITCHEN: The LPA observed the kitchen and dining area. Kitchen appliances are in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 10:05 a.m., hot water temperature measured at 107.4-degree Fahrenheit. Knives are stored in a locked cabinet behind the kitchen.

BEDROOMS: There are three (3) client bedrooms downstairs and a staff bedroom upstairs. The LPA observed client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Inside temperature was maintained at a comfortable level.

RESTROOMS: Client restrooms are relatively clean and sanitary and in operating condition with grab bars. Starting at 10:11 a.m., hot water temperature measured between 106.0 and 118.0 -degree Fahrenheit. The sinks had sufficient liquid soap, and paper towels.

OUTDOOR SPACE: At 10:15 a.m., the LPA observed the back and side patio which has a covered outdoor area for client use. There are no bodies of water on the premises. Continued on LIC 809-C.