Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required 1 Year inspection at the facility today. The LPA met with the caregiver and informed him of the reason for today's visit. When the LPA arrived there was one caregiver and four clients present. Co-Administrator Christian Ryan Carino arrived during the inspection.

This annual had a specific emphasis on infection control practices and procedures. The facility is vendored by Tri-Counties Regional Center as a level 3 home. The LPA and caregiver 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 : At 12:58 PM, the kitchen and food storage areas were observed. Kitchen appliances were in operable condition. Knives are stored in a locked drawer. The facility has a sufficient supply of perishable and non-perishable food. Medications are stored in a locked cabinet in the kitchen.

COMMON SPACES: At the time of the visit, living room and dining room furniture was observed to be in good condition. The fire extinguisher is fully charged and last serviced on 10/11/2021. At 1:02 PM, the smoke detectors in the home and bedrooms were tested and were operational. The carbon monoxide detector was not operational during the inspection and is an enclosed unit of which the battery cannot be replaced. Cleaning supplies are stored in locked cabinets in the garage. There is covered outdoor seating for client use. The LPA observed the latch on the gate on the right side of the home to be broken and the lock on the storage shed in the backyard to be broken also.

BEDROOMS: There are four client bedrooms which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.