Facility Evaluation Report

Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Program Director Reyna Zavala.

According to the facility’s license, the facility has a maximum capacity of eighty (80) clients, of whom twenty-five (25) may be non-ambulatory. During today’s inspection, there were a total of fifty-four (54) clients in care. This facility does not feature a secured perimeter or delayed egress doors.

LPA, accompanied by staff, toured the interior and exterior of the facility. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Doors, windows and screens, toilets were in working order. The facility had sufficient space and equipment to facilitate dining, visitation, meetings, and client activities. The facility’s ambient internal temperature was 77 F. Hot water temperature at taps accessible to clients were all compliant: kitchen sink was 115 F, bathroom #1 was 105 F, bathroom #2 was 105 F and bathroom #3 was 105 F.

There were no sharp objects, toxic chemicals/poisons or open-faced heaters accessible to clients.

No pools or bodies of water were observed on the premises. Per the program director, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.