Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 08/01/2023 at 8:31 am. LPA was met by Administrator Mary Aster Argente-Granada 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 8:55 am and was led by S1. The facility is a single-story building located in the rear of driveway and contains: three (3) client bedrooms, one (1) staff bedroom, one (1) client bathrooms, one (1) staff bathroom, kitchen, dining room, living room, centrally stored medication closet, linen closet, front yard, backyard.

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

Kitchen: LPA Ramirez observed working order. LPA Ramirez observed sufficient 2 days of perishables and 7-day supply on non-perishables. LPA Ramirez observed knives and sharps located in kitchen cabinet, to be inaccessible to six (6) out of six (6) clients in care. LPA Ramirez observed several bottles of cleaning solutions and disinfectants located in bottom kitchen cabinet to be inaccessible to six (6) out of six (6) clients in care. Surrounding walls and outer cabinet doors near stove, were observed to be dirty and contain yellowish-brown spatter. LPA Ramirez observed unknown particles near back of appliances that were on kitchen counters. LPA Ramirez issued one (1) deficiency for kitchen area.

Dining Room/Living room: Dining room was observed to contain one table with plenty of seating. Living room was observed to contain plenty of seating and lighting.