The facility is an Adult Residential Facility (ARF) with a license capacity of (4) and current census of (2) clients. During the visit both clients were attending the Day Program and were not present. The facility is vendorized by Inland Regional Center (IRC). LPA conducted an overall inspection of the facility, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by the Community Care Licensing Division (CCLD). The facility is a one story single family home with 4 client bedrooms and 1 staff bedroom, 2 client bathrooms, living room, family room, dinning room, kitchen, staff office, and an attached 2 car garage. The Indoor and outdoor passageways were kept free of obstruction. The facility has no swimming pools or bodies of water. The facility has sufficient indoor and outdoor space for client activities. The facility is maintained at a comfortable temperature. Four (4) client bedrooms inspected were furnished with clean bed linen, mattresses, night stands, chairs, storage space, and sufficient lighting. The hot water temperatures in the bathrooms measured 102.3, 102.6, 89.3,105.2 and 103.3 degrees Fahrenheit. The measurement is slightly below regulations. A deficiency cited. The facility maintains a sufficient supply of bed linen, towels, personal protective equipment products, and personal hygiene products. The facility has a locked room were client files, staff files, and medications are centrally stored. The facility is equipped with operating laundry equipment, telephone service, and a centralized fire/carbon monoxide system. Posters such as client personal rights, the Community Care Licensing complaint poster, disaster plan, facility sketch with exit points were posted in a common area. LPA observed the facility did not maintain a Infection Control Plan. A technical violation issued. Cleaning supplies, toxins, and sharps were kept locked.

Food Service: Kitchen and dining areas were maintained and clean. The facility has a sufficient space for non-perishable and perishable foods. The facility refrigerator and freezer were maintained and has sufficient amount of food for residents in care. The facility is equipped with 2 days supply of perishable food and 7 days of non-perishable food for the number of clients in care.

• Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

• Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

Facility files/Record Review: LPA reviewed two (2) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed two (2) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. 1 out of 2 staff file were complete with all required files. The administrator file was not available for review. The Administrator did have his administrator certificate available. A deficiency cited. Medications were audited at random and appeared to be dispensed appropriately by staff members. LPA review two (2) clients file for P&I records. Licensee records appeared to accurate and in order, no discrepancies found.

Overall the facility is maintained clean and in good repair. Two deficiencies and 1 technical violation were cited during today's inspection.

An exit interview was conducted where this report LIC809, LIC809C, LIC809D, LIC9102, and appeal rights was discussed and a copy provided to Administrator Christopher Apodaca at the conclusion of the visit,