Facility Evaluation Report

At 01:45 p.m. Licensing Program Analysts (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. When the LPA arrived, there were four (4) staff and four (4) clients present. Licensee Representative Jose Ong arrived shortly after the inspection began.

At 01:55 p.m., the LPA conducted a tour of the physical plant with Licensee Representative Jose Ong to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of four (4) client bedrooms, and two (2) bathrooms. The home is vendored by Tri-Counties Regional Center as a level 4-I home. The LPA observed two (2) fire extinguishers at the facility, which were fully charged and last serviced 01/18/2024. At 02:04 p.m., all smoke alarms and carbon monoxide detectors were tested and functioned properly. LPA observed all required postings in the entrance.

KITCHEN/GARAGE : 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 are stored in locked cabinets in the garage. Knives and items that could pose a danger are in locked cabinets and drawers. Food is prepared based on the menu and modified as needed for individual residents. Snacks and beverages are always available for residents. The LPA observed the garage, where the washer and dryer are held, and the emergency food and water is stored. The garage is not locked.

COMMON SPACES/OUTDOORS: These included the living, dining area and backyard. Walls and flooring were checked for cleanliness and good condition. 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. There is a fireplace in the living room, which is covered with a screen and a couch. The backyard has covered seating for resident use. There are no bodies of water on the premises. Report will continue on LIC809-C