Facility Evaluation Report

Licensing Program Analyst (LPA) Sanjay Vaid conducted an announced annual inspection. LPA was allowed entry by Rebecca Viloria. Facility Administrator, Manuelita Reyes, arrived shortly after to assist with this inspection. LPA explained the purpose of today's visit.

The facility is licensed for mentally ill clients ages 18-59. The fire clearance is approved for (6) ambulatory clients.

1.Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting clients. Staff are cleaning and disinfecting often for high traffic surfaces. Facility has sufficient PPE supplies, has an Infection Control Plan and Mitigation Plan. Facility has COVID-19 signage posted throughout the facility. Bathrooms have hand washing signs, soap, and paper towels. Facility Administrator is adhering to infection control requirements.

Per Facility Administrator all (5) clients and all staff have COVID-19 vaccines including boosters.

2.Physical Plant & Environment Safety: This facility consists of (4) bedrooms (1 of which is a staff bedroom), (2) bathrooms (one of which is located inside the staff's bedroom), living room, kitchen, dining area, shaded back patio area and attached garage. Smoke alarms/ carbon monoxide were tested and operable. Fire extinguisher appeared to be full. Knives, cleaning solutions, and disinfectants are locked and inaccessible to clients. Hot water supply measured 105-120*F in the bathrooms, and kitchen.

3.Operational Requirements: The fire clearance is approved for (6) ambulatory clients. Last Fire Drill 01/07/25 and Earthquake Drill: 12/23/24. Per Facility Administrator, these drills are completed every (3-6) months and is adhering to operational requirements.

4.Staffing: There is sufficient staffing at the facility. Administrator Certificate for Manuelita Reyes expires on 07/09/25. Staff employed are over the age of 18 and are fingerprint cleared and associated to the facility.