Facility Evaluation Report

On 07/17/24, Licensing Program Analysts (LPAs) L, Salazar and M. Medina arrived at the facility unannounced to conduct a case management to conduct a walk through of the new building. LPAs were greeted by Administrator, stated the purpose of the visit and was allowed entry.

LPAs toured the facility inside and out and observed 3 newly built classrooms, 2 bathrooms and a changing room on the north side of the building. LPAs observed the building to be new and free from odor. Walkways were free from debris however, the offices and classroom need to be organized and be free from clutter.

LPAs observed the south side of the building to be vacant and under remodel. Administrator stated they anticipate a 30 day completion. Once completed, Administrator will submit the required documents for a new fire clearance. LPA Salazar has received documentation from the facility evidencing the local fire Marshall has been to the facility and aware of the remodel process.

LPAs observed 9 staff members for 24 clients. LPAs observed 6 individuals in care to be non-ambulatory and to be using postural supports/gait belts per their physician orders. The 6 Individuals all reside in Intermediate Care (ICF DD-N) facilities.

LPA will return at a later date to observe the completion of the building and updated client records. Exit interview conducted. No Deficiencies cited on today's visit.