Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with Derry Sandajan (House Manager) who assisted with the visit. The facility is licensed to serve 6 non-ambulatory clients ages 18 to 59 years old.

The facility is a single-story home located in a residential. A tour of the facility includes: dining room, kitchen, living room, 3 client bedrooms, 2 bathrooms, attached garage, front yard, backyard, and a locked toolshed.

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 residents’ medications. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan posted by the entrance.

Physical Plant & Environment Safety: There are 3 client bedrooms, 2 bathrooms, living room, dining room, kitchen, attached garage, 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. There were a few paint cans near garage and in front yard that were closed securely but accessible to clients a TV was issued during today’s visit, assistant administrator had staff properly dispose of paint cans prior to end of visit. No bodies of water were observed at the facility. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested in both client bathrooms and measured at 107.7 – 117.6 degrees F which are within the required range of 105-120 degrees. All storage areas for cleaning solutions, toxins, knives, and hazardous items are in a secured cabinet and inaccessible to clients.