Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Required 1 Year inspection at the facility today. The LPA initially met with the caregiver and advised them of the reason for today's inspection. There were two caregivers and four clients present. Licensee Representative Maria Miranda was contacted and arrived shortly thereafter. Two (2) additional staff arrived during the visit. The facility is vendored by Tri Counties Regional Center as a level 4-I home.

The LPA, along with the Licensee Representative, 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. Items that could pose a danger were secured in a locked box.

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 on 01/18/2024. At 2:00 PM, the carbon monoxide detector and smoke detectors in the common areas and bedrooms were tested and were operational. Medications and records are centrally stored in a locked cabinet in the living room area. Cleaning supplies were observed to be locked in the garage and inaccessible to clients in care. The LPA observed appropriate outdoor furniture with a shaded area for residents in the backyard. There are no bodies of water on the premises.

BEDROOMS: There are four client bedrooms and one staff bedroom. The LPA observed the client bedrooms to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.