Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted a Case Management Visit-Deficiencies on 01/11/2024 at 10:00 am, stemming from initial complaint investigation conducted on 01/11/2024. LPA Ramirez was greeted by Administrator Joseph Estanislao.

· During facility tour at 10:07am, LPA Ramirez observed two (2) kitchen cabinets that contained knives, sharps, and disinfectants, to be accessible to clients in care. LPA Ramirez observed key in locks attached to lanyard. During tour, staff were observed assisting clients in care in different sections of the facility and keys remained in lock and accessible to clients. LPA Ramirez instructed staff to remove key and secure sharps and disinfectants. Per staff, lunch was in the process of being prepared at 11am. LPA Ramirez will issue deficiency.

· At 10:05am LPA Ramirez observed discarded mattress and plastic bags (some torn and half ways open) filled with empty plastic bottles, scattered near and around discarded mattress. LPA Ramirez will issue deficiency.