Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Manager Nenita Cruz and explained the reason for the visit. The purpose of the visit is to complete the required inspection. Shortly thereafter Administrator Jasfer Cruz arrived.

LPA Trueman toured the facility along with Administrator Jasfer Cruz today 06/17/2025 at 9:45 AM and the following was observed: The facility is a single-story home located in a residential area with four (4) bedrooms, two (2) full bathrooms, dining room, kitchen, living room, office area, detached garage, and backyard shaded patio area with required furniture.

Annual Inspection includes the following Domains:

Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records- Training, Client Rights Information, Client rights- Incident Reports, Food Service, Health Related Services, Incidental Medical Services, and Disaster Preparedness

Interviews were unable to be conducted with 4 clients who were at Day Program and were conducted with 1 staff. 2 client files and 8 staff files were reviewed

Medication was administered per physician's directions.

Signage for hand washing and proper sanitizing were posted. Staff have been trained in hand washing.

Staff responsible for providing care and supervision received training in First Aid.

Licensee maintained an individual admission agreement for each client.

Facility had sufficient supply of 2 day perishable and 7 day non-perishables meeting regulations.

Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Program site was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors.