Facility Evaluation Report

At 01:30 p.m. Licensing Program Analysts (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. When the LPA arrived, there were no staff or clients present. The LPA contacted administrator Carolina Gallardo-Magana and informed them of the visit and the reason for the visit. Administrator arrived at approximately at 1:45 p.m.

At 02:04 p.m., the LPA conducted a tour of the physical plant with the administrator to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The following was noted: Facility is a single-story residence that consists of three (3) client bedrooms, one (1) office, one (1) medication room, and two (2) bathrooms. The home is vendored by Tri-Counties Regional Center as a level 4-G home. The LPA observed three (3) fire extinguishers at the facility, which were fully charged and last serviced 06/08/2024. All smoke alarms and carbon monoxide detectors were tested and functioned properly. The LPA observed all required postings.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. The LPA observed a sufficient supply of perishable and non-perishable food at the facility; Sharp objects are stored in a locked box and cleaning supplies are stored in locked cabinets. Food is prepared based on the menu and modified as needed for individual clients. Snacks and beverages are always available for clients.

Bedrooms: The LPA observed all resident bedrooms properly furnished with at least one chair, night-stand and sufficient lighting for each client. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. The LPA observed that client#1 (C1) is non-ambulatory per their physicians report dated 07/18/23 and is in an ambulatory room. It was also observed in bedroom #3, a dividing partition was constructed without notification to CCL.