Facility Evaluation Report

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced site visit for the Required - 1 Year inspection. Upon arriving at the facility, there was no one present. LPA contacted the Business Office and spoke with Sheryl Barnardo and Ms. Barnardo sent staff to meet LPA at the facility. A short time after LPA met with Staff / Evelyn Brindis and Covering Administrator / Estrella Delmmundo who assisted with the visit. The facility is licensed to serve four (4) Developmentally Disabled adults ages 18 through 59 years old. Approved for four (4) Non-Ambulatory clients. During today's visit, LPA used the infection control domain to complete the Required - 1 Year inspection. Also, the physical plant was toured, medication and food supplies reviewed.

The facility is located in a residential area. A tour of the single-story facility includes: A living room, dining room, kitchen, laundry room, 4 client bedrooms, 2 restrooms, an attached garage and indoor/outdoor activity areas. All medications for clients who need assistance are kept locked and inaccessible to other clients. Knives, disinfectants and cleaning solutions are kept locked and inaccessible to clients. The bathrooms are clean and operational. Client bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The hot water temperature was tested throughout the facility. The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. LPA reviewed client medications.

Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguisher was located in the kitchen and was observed to be fully charged and in compliance. The first-aid kit is fully stocked w/First-aid Manual. The front yard is well landscaped with steps that leads to the entry. A shaded area with chairs is provided in the back yard. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. The trash cans have covered lids. There is no evidence of bodies of water (pool) or security bars nor weapons on the premises. The attached garage is kept locked and inaccessible to clients at all times.