Facility Evaluation Report

Licensing Program Analyst (LPA) V. Maldonado made an unannounced visit at the facility for the purpose of conducting the required annual inspection, using the Compliance and Regulatory Enforcement (CARE) Tool, to evaluate the facility. LPA Maldonado met with facility Administrator, Jorge Romero and explained the purpose for the visit.

During today's visit, LPA Maldonado conducted a tour of the physical plant with Administrator, observed the facility food supplies, reviewed (4) client medications, (4) client files, (4) staff files, and conducted interviews with Staff# 1. LPA was unable to interview (4) clients due to clients being out in the community during the time of the visit. The facility is a single-story home, operating as an Adult Residential Facility, licensed to serve (4) developmentally disabled adults, ages 18-59. Facility has an approved fire clearance to serve (4) non-ambulatory clients. The home consists of a kitchen, living room, dining room, indoor activity area, (4) client bedrooms, (2) client bathrooms, attached garage with storage and laundry area, and a shaded patio with seating.

All client bedrooms were inspected and had the required furniture, storage space, and lighting. Bathrooms were equipped with a toilet, wash basin, and showers. They had the required grab bars and non-skid mats. The water was tested and measured at 113*F, which is in compliance. The food supplies was observed. The facility had (2) refrigerators and had the required 2-day perishables and 7-day non-perishables, as well as emergency food and water supplies available. (3) Fire extinguishers were observed, with current inspections and were fully charged. The home was in good repair and walkways/ramps were observed to be free of debris and obstructions/hazards. Sharps and toxins/cleaning supplies were observed stored in the garage, locked and inaccessible to clients in care. Centrally stored medications were also observed locked in a kitchen cabinet, inaccessible.