Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez conducted the required annual inspection. LPA arrived unannounced and met with mental health workers Isela Recillas and Carmen Roman. Program Director Lisa Maher was notified by phone The reason for the visit was explained. The facility is licensed as a social rehabilitation facility to serve ambulatory adults ages 18 through 59. There are currently 11 clients residing at the facility.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools to inspect the facility.

The facility consists of individual houses: House #1 has 2 client bedrooms, 1 bathroom, and a living room. The medication room is located adjacent to house #1. House #2 has 3 single client rooms, 1 bathroom, and a living room. House #10 has 2 client bedrooms, 1 bathroom, living room, and kitchen. House #12 has 2 client bedrooms, 1 bath, and living room.

LPA toured the facility and observed the following: Each client bedroom has the required furniture and bedding. There is extra clean linen and towels in a hallway closet. Smoke detectors/carbon monoxide devises were observed in each room and throughout the facility and are properly operating. The facility has one (1) fully charged fire extinguishers in each home. Cleaning supplies and toxic substances were observed to be inaccessible clients. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 40 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. Sharps are locked and placed in cabinet in kitchen. There are no firearms or weapons stored at the facility. The hot water temperature in the bathrooms were measured between the required range of 105-120 degrees F. The facility does not have a swimming pool or bodies of water on the premises There is a shaded seating area for the residents located in the front yard. Passageways and exits are free of obstruction. The garage is clean and has extra supplies.