Facility Evaluation Report

Licensing Program Analyst ( LPA) Alberto Lopez made an unannounced annual inspection visit. LPA met with DSP Meleke Lewis and Administrator Juan Alvarez arrived a short time later and assisted with the visit. LPA explained the purpose of today's visit.

This is a one-story Adult Residential Facility (ARF) facility consisting of 4 client bedrooms, including 2 shared bedrooms and 2 bathrooms, kitchen, dining room, activities room, laundry room, medication closet, staff office located in detached garage and outdoor shaded area. This facility is licensed for a capacity of 6 clients and today's census was 6.

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. An Infection Control Plan was not posted at the facility but LPA observed the plan.

Physical Plant & Environment Safety: LPA observed 4 client bedrooms, 2 are shared and closet/drawer space to accommodate each client comfortably was available. There are 2 bathrooms at the facility, The facility is free of debris/hazards. There are no security bars or weapons on the premises. The hot water temperature was tested, and temperature measured between 120-125.6 degrees F which is not within required range of 105-120 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are inaccessible to clients. The last Fire/Emergency Drill was 08/06/2023. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers were observed and recently inspected.