Facility Evaluation Report

On 03/21/2024, Licensing Program Analyst (LPA) Lizeth Villegas conducted an unannounced annual required visit using the New Inspection Tool. LPA was met by Administrator Tori Lacy as the purpose of today’s visit was explained. The facility is licensed to serve 4 developmentally disabled clients ages 18-59, clients are linked to the South Central Regional Center. Current facility census is 4. Facility fees are current.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: 3 bedrooms, 1 bathroom, family room/dining room, kitchen, living room, indoor and outdoor activity area, an outdoor shaded arealaundry room and a detached garage house additional hygiene supplies. A land line 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 toilet and water faucet 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.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards.

LPA conducted a records review of 2 staff records, 2 client records, 2 medication administration records, and 2 P&I records, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked. The last fire was conducted on 03/01/24, 1 fire extinguisher fully charged and located in the kitchen, carbon monoxide and smoke detectors are interconnected and operational.

Exit interview conducted with Administrator Tori Lacy, and a copy of this report was provided.