Inspector’s narrative
What the inspector wrote
Licensing Program Analyst (LPA) LaVette Farlow arrived unannounced to conduct the required annual visit to the facility. LPA met with House Manager Sandy Barr, and introduced self and stated purpose of the visit. LPA was informed that there was 4 client home and 2 in Innovage day program.
The facility has 4 bedrooms, 2 1/2 bathrooms, 1 staff bedroom, kitchen, dining area, family room, living room, washer and dry in the garage, attached garage, and backyard. LPA completed a walk through of facility, review of records, and medication.
Physical Plant:
The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 76 degrees Fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 105.6, 104.6 and 108.0 degrees Fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms and charged fire extinguisher, the last fire extinguisher inspection was conducted 7/2025. Posters such as; the personal rights, CCL complaint poster and disaster plans were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept in secure and inaccessible to clients. There was a designated storage space for client/staff files. Medications and first aid kit were observed secure and inaccessible to clients. The facility has emergency food and emergency to go backpacks for clients in care. There are no firearms or ammunition in the facility. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.
Food Service
:
Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a wide variety of food available for clients. Dishes, cups, and utensils were also stored properly. Emergency food and water were also observed.
Yards/Outside:
LPA observed shaded area with table and chairs on patio, a side gate with self-latching handle on the left and right side of the house that leads into the backyard. All outdoor pathways were free of obstructions.
Record Review:
LPA reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. LPA reviewed three (3) clients files for admissions agreements, pre-admissions appraisals, physician's reports, and care plans. LPA observed that all files were current and appeared to be maintained. No discrepancies. LPA review the facility files for Infection Control plan, LIC 500 (Staff Roster) LIC 9020 (Client Roster), Emergency Disaster Plan, LIC 9282 (Infection Control Plan Annual Report), and Fire Drill. LPA observed the file were maintained and no discrepancies found.
Based on the observations made during today’s visit, no deficiencies were cited, per Title 22, Division 6, of the California Code of Regulations.
An exit interview was conducted, and this report (LIC809), and (LIC809C) was discussed and provided to House Manager, Sandy Barr at the end of the visit.