Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 07/31/2023 at 8:34 am. LPA was met by Staff #1 (S1) and explained the purpose of the visit. The facility is licensed serve developmentally disabled clients 18-59 years old. LPA Ramirez requested and obtained copies of Personnel Report (LIC 500), and Client Roster (LIC 9020).

LPA OBSERVATIONS: Tour began at 8:47 am and was led by S1. The facility is a single-story building located in a residential area with three (3) client bedrooms, one (1) staff bedroom, two (2) bathrooms, kitchen, living room, front yard, and backyard.

Front Yard: Was clean and well maintained. No hazards were observed.

Kitchen: LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located in pantry closet, to be inaccessible to five (5) out of five (5) clients in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to five (5) out of five (5) clients in care. LPA Ramirez observed several dead and live insects in bottom sink cabinet, and pantry closet. Insects were seen crawling a bag of bread on kitchen counter and insects were seen crawling on a box of potatoes that were on the floor on nearby open back porch. LPA Ramirez observed a plastic bag containing brownish wilted green leaf lettuce sitting on the kitchen counter next to a bag of open white bread. LPA Ramirez observed other fruits and vegetables being stored in bags and boxes on the floor on open porch. Inside of microwave was observed to contain caked brownish-yellowish spatters and unknown particles stuck in and around walls of microwave. Microwave plate contained brownish and yellow stains. Outside of refrigerator contained a lock, 2- two (2) inch thick brown strips of packing tape and 2- two (2) inch thick gray strips of duck-tape that led from refrigerator door to side of refrigerator. LPA Ramirez opened refrigerator door to inspect food supply, and an insect was seen to have crawled out from under refrigerator door and ran under a nearby kitchen cabinet. LPA Ramirez observed food debris on inside on refrigerator. Kitchen floors were observed to contain black and brown stains and unknown debris. Bottom floor of inside refrigerator was observed to contain brownish and yellow stains. Walls near kitchen stove were observed to have unknown black and brown spatters. Kitchen area was malodorous. Water temperature in kitchen sink was measured at 102.3 degrees F.