Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek arrived at the facility unannounced to conduct a required annual visit at 09:04AM. The LPA initially met with facility staff Aaron Edrada. LPA explained the reason for today's visit. The Administrator was contacted via telephone and arrived at 09:30AM. Entrance interview conducted.

The facility is vendored through Tri-Counties Regional Center as a level 4i home.

Beginning at 09:40AM, the LPA, along with facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. The following was observed:

Smoke alarms and separate carbon monoxide detector were tested at 10:59AM and all functioned properly. The fire extinguisher was observed to be fully charged and last serviced on 12/19/2022.

BEDROOMS: The LPA observed three shared client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.

RESTROOMS: One (1) restroom is designated for shared client use and one (1) is designated as a staff restroom. Client restroom is clean and sanitary and in operating condition. Hot water was checked in the shared client restroom and measured just at the minimum of the required range.

KITCHEN: Knives are stored in a locked drawer. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food.

COMMON SPACES: Living room and dining room furniture was observed to be in good condition. The LPA observed the required postings upon entry. The backyard patio contains a shaded area and is equipped with furniture for clients' use. Garage was observed to be utilized as an activity space for clients and also contained laundry area, locked chemical storage as well as extra food and emergency supply.