Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. LPA met with Amalia Ferrer, administrator who assisted with the visit. The facility is licensed to serve six (6) Developmentally Disabled clients, (age 18-59), and approved for non-ambulatory clients. Facility licensing fees are current. Administrator certificate is current and will expire on 3/20/24.

Investigation consisted of using Care Tool, reviewing staff and clients' files, conducting physical plant, reviewing food supplies, interviewing staff and clients, and reviewing medication.

The facility is a single story home located in a residential neighborhood. The facility consisted of four (4) client bedrooms, staff bedroom, two (2) bathrooms, living room, dining room, kitchen, garage with laundry area and an indoor/outdoor activity area. Adequate linen and personal hygiene supply are observed. Bathrooms are clean and operable. Facility maintains the required two (2) days perishable and seven (7) days non- perishable. Clients’ bedrooms have beds, dresser and closet space available. Lamps/lights for each room are available to ensure the safety and comfort of all persons in the facility. Carbon monoxide detectors and smoke detectors are operable. Hot water temperature measured at 119.5 degrees Fahrenheit. Medications are centrally stored and locked. Medications were properly logged and current. Hazardous items are locked and inaccessible to clients. Fire extinguishers are fully charged and last services is 01/03/23. Last disaster drill is conducted 01/10/23. Facility has no bodies of water. Pesticides /poisons are not stored in food areas, kitchen, or where kitchen equipment/utensils are stored. Auditory device at exit is working.