Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit. At 1:00 p.m., the LPA met with staff and explained the reason for the visit. At 1:12 p.m., Administrator, Maria Miranda arrived at the facility. The facility is vendored by Tri-Counties Regional Center as a level 4i home.

RECORD REVIEW: Between 1:13 p.m. and 2:05 p.m., the LPA conducted a file review for all six (6) clients and for five (5) staff and observed the following: Staff have current first aid and training completed. Client records were reviewed for but not limited to current Individual Program Plan (IPP), medical records, P & I funds, admissions agreement, and consent forms. All records were in order. The last fire drill took place on 07/02/2025. The LPA observed documentation of the Infection Control Plan and Emergency and Disaster Plan.

Starting at 1:55 p.m., the LPA conducted a review of medication and medication documentation with the Administrator for three (3) out of six (6) clients and observed that medications were properly documented and assisted as prescribed.

Starting at 2:16 p.m., the LPA, along with the Administrator 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 2:18 p.m., hot water temperature measured at 114.3-degree Fahrenheit. Knives are stored in a locked box. Cleaning solutions, and chemicals are inaccessible and locked away underneath the kitchen sink. Continued on LIC 809-C.