Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit. The LPA initially met with facility staff Garry Fernando. LPA explained the reason for today's visit. The Administrators, Casey, Charles, and Richard Carino were contacted via telephone and arrived during the visit. Entrance interview conducted.

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

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:

S moke alarms and separate carbon monoxide detector were tested at 10:30 AM and all functioned properly. The fire extinguisher was observed to be fully charged and last serviced on 11/20/2024.

KITCHEN: The LPA inspected the kitchen/food service area. Knives and sharps were observed in a locked cabinet in the hall way. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates.

BEDROOMS: The LPA observed three shared client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting and one (1) office.

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. The restrooms were sufficiently stocked with supplies and paper towels Hot water was checked in the shared client restroom and measured 114.1 degrees Fahrenheit at 11:46AM . Report Continued on LIC 809-C 2nd Page.