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 Mary Gonzales and the purpose of today’s visit was explained.

T he facility is licensed to serve (3) Developmentally Disabled clients between the ages of 18-59 and is approved for three (3) non-ambulatory clients. Currently, there is one (1) clients in placement, who was hospitalized on 2/22/22. There are no clients who have a restricted health care condition.

LPA and Administrator Mary Gonzales toured the entire facility inside and out. The facility is a single story home located in a residential neighborhood and consists of living/ dining/ office room, kitchen, family room, laundry room, (3) client bedrooms, (2) bathrooms, backyard with shaded seating for clients, and an attached garage/ storage area.

Physical plant inside and outside is in good repair. Client rooms were checked and observed to have 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 linens which were in good condition at the time of the visit. Client bedrooms had sufficient closet/ storage space. Activity and game supplies were in stock. Adequate supply of linen stored in hall cabinet with additional towels and blankets. Bathrooms are clean and operational and were observed to be within Title 22 regulations. Toilets and water faucets worked properly. Showers were free of mold/mildew, adequate lighting, and sufficient toiletries are accessible to clients.