Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Bernardo Ibanez (DSP) and Willie LaJara (Assistant Administrator) who later assisted with the visit. The facility is licensed to serve 4 non-ambulatory clients ages 18 to 59 years old.

The facility is a single-story home located in a residential area. A tour of the facility includes: dining room, living room, kitchen, 4 client bedrooms, 1 client bathroom, 1 staff restroom, Staff office, attached garage with laundry, front yard, backyard, and a locked tool/storage shed.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: There are 4 client bedrooms, dining room, living room, kitchen, 1 client bathroom, 1 staff restroom, staff office, attached garage with laundry, front yard, backyard, and a locked toolshed/storage room. All bathrooms are clean and operational. Clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The backyard is free of debris/hazards and the outdoor and passageways are free of obstruction. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available and stored in client bathroom. The hot water temperature was tested in client bathroom and measured within the required range of 105-120 degrees. All storage areas for cleaning solutions, toxins, knives, and hazardous items are stored in a secured/locked area and inaccessible to clients. The last Fire/Emergency Drill was conducted on 8/2023. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguisher was observed and is fully charged.