The facility is licensed to operate for six (6) ambulatory clients. The facility is a single-story structure located in a residential neighborhood. It consists of the following: three (3) client bedrooms, one activity room, one (1) staff bedroom, two (2) bathrooms, two (2) living areas, dining area, kitchen, swimming pool, an attached garage, and outside covered patio area.

LPA Kim toured indoor and outdoor of the physical plant with DSP Hernandez. There were no obstructions on the premises. Swimming pool is secured and locked by two gate doors that are 5 feet in height. The gate doors both open away from the pool as they are located on two different entrances of the pool. . Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. All bedrooms were inspected: Client Room 1, Client Room 2, Client Room 3, and Staff room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 116.7 degrees F.

LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. A working telephone (657-88-4211) remains available. First Aid Kit contained all the necessary elements.

Evaluation Report Continues on LIC 809-C

LPA conducted an audit of client files (C1-C3), staff files (S1-S3), review of client P&I funds, and medication and medication administration review were in order and complete. LPA Kim conducted resident interview and staff interviews.

A deficiency was cited and a technical violation issued during this inspection visit according to the California Code of Regulations (Title 22, Division 6, Chapter 1).

An exit interview was conducted, and a copy of this report was provided to Administrator Lissette Olamendi .