Facility Evaluation Report

At 11:40 a.m. Licensing Program Analyst (LPA) Esther Cortez conducted an unannounced Required - 1 Year Annual inspection at the facility today. The LPA met with Administrator Susie Mix and informed them of the reason for the visit. The home is vendored by Tri-Counties Regional Center as a level 4-C home.

At 11:50 a.m. the LPA toured the physical plant areas inside and outside with the Administrator to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was observed: Fire extinguishers were throughout the facility which were fully charged and purchased on March 16. 2023. All smoke alarms and carbon monoxide detectors were tested and functioned properly. LPA observed all required postings in the living room.

KITCHEN: Knives are stored in a locked drawer. The kitchen appeared cleaned and the facility has a sufficient supply of perishable and non-perishable food. The LPA observed the dish washer machine inoperable.

BEDROOMS: The LPA observed six client bedrooms and one staff office. Client rooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The LPA observed a window screen not properly installed in room #2.

RESTROOMS: There is one common restroom and two private restrooms for client use. The restrooms were clean and sanitary with hand soap and paper towels. At 12:18 p.m. the hot water temperature tested in the common restroom measured at 101.2 degrees F. At 12:38 p.m. the hot water temperature tested in one of the private restrooms measured at 94.4 degrees F.

COMMON SPACES: Living room and dining room furniture was observed to be in good condition. Required signs were posted. Cleaning supplies were observed to be locked in the garage and inaccessible to clients in care. The backyard has covered seating for client use.