Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required -1 Year inspection. The LPA met with the caregiver at 11:37 AM and explained the reason for today's inspection. Administrator Susana Mix arrived during the inspection at 12:45 PM. This home is vendored by Tri-Counties Regional Center for six residents.

This annual had a specific emphasis on infection control practices and procedures. 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 : Beginning at 11:41 AM, 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 in the kitchen and garage.

COMMON SPACES: In the common areas, 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. Fire extinguishers are fully charged and with receipts that reflect they were purchased in March 2021. Beginning at 12:30 PM, carbon monoxide detector and smoke detectors in the home and bedrooms and were operational. Medications are centrally stored and in a locked cabinet in the dining room. Cleaning supplies were observed to be locked in the garage and inaccessible to residents in care. The backyard has covered seating for resident use.

BEDROOMS: There are six resident bedrooms. The LPA observed the resident bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.