Facility Evaluation Report

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with Staff Members / Fernando Becerra, James Daniel Lopez and Arejinea "Nae" Toney and was later joined by the Assistant Administrator / Joey Perez and Facility Manager / Juana "Ivett" Busby who assisted with the visit. The facility is licensed to serve four (4) Developmentally Disabled adults, ages 18 through 59 years old. The facility has an approved fire clearance for one (1) Ambulatory and three (3) Non-ambulatory clients (Total Census = 4). During today's visit, LPA used the infection control domain to complete the Required - 1 Year inspection. Also, the physical plant was toured, medication and food supplies reviewed.

LPA toured the physical plant areas inside and out to ensure there are no health and safety hazards and the facility is in compliance with Title 22 Regulations. A tour of the single-story facility includes four (4) private bedrooms, two (2) bathrooms, a living room, dining room, kitchen, enclosed patio and indoor/outdoor activity areas. The bathrooms are clean and operational. Client bedrooms were checked and closet/drawer space to accommodate each resident comfortably was available. The hot water temperature was tested throughout the facility. The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables.

The facility smoke alarm system and carbon monoxide detectors are hard wired. The smoke alarm system was tested and observed to be operational. There were a total of two (2) fire extinguishers, of which only one (1) was fully charged and in compliance. The facility does not have a fireplace. LPA observed the facility has perimeter fencing in the back yard. The outdoor activity area is free of visible hazards and debris and the trash cans have covered lids. There is no evidence of bodies of water (pool/spa) or security bars on the premises. LPA observed a shaded area with patio table and chairs for the clients. The facility has an attached one care garage which was converted to client bedroom #3 (Ambulatory). The washer and dryer are located in the enclosed patio. Knives, disinfectants and cleaning solutions are kept locked and inaccessible to clients