Facility Evaluation Report

On 01/8/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Lead Care Staff, Eumelia Mendoza and explained the purpose of the visit. Administrator is out of town and verbalized via phone that Eumelia can conduct and sign off on inspection. The facility’s fire clearance was approved for 6 ambulatory.

LPA toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 4 total bedrooms which 3 bedrooms are occupied by the clients and 1 bedroom is occupied by staff. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70 degree Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 120.0 degree Fahrenheit. Refrigerator temperature measured at 40 degrees Fahrenheit and freezer measure at 0 degrees Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygienes were available for clients. There is a minimum of one week supply of non-perishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 2/09/2024. First aid kit was observed to be complete. Fire drill was last conducted on 12/04/2024.

At 8:25am, 5 of 5 clients records were reviewed. At 9am, 3 staff records were reviewed and 3 of 3 have current first aid training and are associated to the facility.

No deficiencies were cited during this inspection. Exit interview conducted and a copy of this report provided.