Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced Annual Inspection at the facility today. LPA arrived at 11:55AM and met with facility Designee Leopoldo (Leo) Vaca. Entrance interview conducted.

LPA, along with facility Designee, toured the facility beginning at 11:56AM to ensure client health and safety and the facility is in compliance with Title 22 regulations. The following was observed:

COMMON AREAS: These include the Family Room, Dining Room, and garage gym. All furniture appeared clean and in good condition. A fireplace was observed in the family room to be adequately screened at the time of the visit. Fire extinguishers were observed throughout the common areas, and were observed to be fully charged and last serviced 07/20/2022.

TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: There is a Group/Family Room, Family Therapy Room, Medication Room, and two (2) offices located on the ground floor. There is also a Learning Lab located on the second story as well as one (1) additional office. Medications are stored in a locked first floor Medication Room. The medication room has adequate locked storage, as well as a locked refrigerator. At 03:14PM, medications were reviewed for 2 (two) clients. Medications observed were properly labeled and medication records observed were documented per regulation. The First Aid Kit is stored in the Medication Room and was observed to be complete. The Offices are kept inaccessible to clients unless properly supervised.

LAUNDRY: Locked Laundry Room is located on the ground floor. Laundry and cleaning supplies were observed to be inside a locked closet in the locked laundry room.

KITCHEN: Appliances and fixtures appeared clean and functional. There was sufficient nonperishable food to accommodate clients for (seven) 7 days and perishable food for two (2) days. Designee indicated lunch Report Continued on LIC 809-C