Facility Evaluation Report

On 11/08/23, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Director Tamara Henson as the purpose of the visit was explained.

The facility is licensed to serve 4 ambulatory clients (age 18-59) of which two (2) may be non-ambulatory. Clients are linked to the South Central Regional Center. The facility consists of the following; 4 bedrooms, 2 bathrooms, living room, dining area, kitchen, laundry area, a backyard with a covered patio for shade and activities, an outdoor staff office and a small visitation room that houses a deep freezer and has a restroom. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Toxins and knifes were observed to be stored and inaccessible to clients. There are no bodies of water nor firearms on the property, exits and walkways are free of debris/hazards.

LPA conducted a records review of 2 staff records, 1 client record, and 1 medication administration record, No discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 10/03/23, 1 fire extinguisher fully charged and mounted in kitchen area, carbon monoxide and smoke detectors observed to be operational. Landline was observed.

Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. During today’s visit no discrepancies were observed.

Exit interview conducted with Director Tamara Henson, and a copy of this report was provided.