Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Annual Required / Infection Control visit to the above facility. LPA was met by Administrator Teresa Santos and the purpose of today’s visit was explained.

There are currently (4) clients in the facility. The facility is licensed to serve (6) developmentally disabled adults ages 18-59 years old, (2) ambulatory and (4) bedridden. Facility is operating within the approved capacity.

LPA and Administrator Teresa Santos toured the entire facility inside and out. The facility is a single story structure located in a residential neighborhood. Facility consists of the following: 4 Client bedrooms, 2 bathrooms, living room, kitchen with dining/ Office area, laundry room, outside/ patio covered area and an attached garage that is used as a storage area Bathrooms are clean and operational. Toilets and water faucets worked properly. Shower was free of mold/mildew, adequate lighting, and sufficient toiletries are accessible to clients. The facility was at a comfortable temperature. All client rooms that were inspected had the required furniture for comfort and safety such as bed frames, dressers, lamps and chairs and all had sufficient lighting. Clients beds have the required linen and the linen was in good condition at the time of the visit. All bedrooms had sufficient closet/ storage space. First aid kit is fully stocked with manual, smoke detectors and carbon monoxide detectors were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to clients. Ample supply of perishable and nonperishable food, hot water temperature measured at 117 degrees Fahrenheit, personal hygiene supplies are adequate, hazardous toxins and/or items are inaccessible to clients, fire extinguisher is fully charged. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. The facility is in good repair.