Facility Evaluation Report

Licensing Program Analyst (LPA) Christian Gutierrez conducted the annual inspection using the Compliance and Regulatory Enforcement (CARE) tools. LPA met DSP worker Aurora Villarojas at approximately 8:24 AM and explained reason for visit. Administrator Mary Anne Nacua arrived shortly.

Facility is licensed to serve (6) developmentally disabled adults, ages 18-59 non-ambulatory. This single-story home consists of three (3) client bedrooms, one (1) staff bedroom, two (2) bathrooms, a kitchen, a dining room, a living room, an attached garage, and a shaded patio in the backyard.

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 hallway closet. Smoke detectors were observed in each room and throughout the facility and are properly operating. There is 1 carbon monoxide in the hallway and is properly operating. The facility has two (2) fully charged fire extinguishers which are kept in kitchen and hallway. Cleaning supplies and toxic substances are inaccessible to clients in a locked storage in garage as well as within other locked cupboards in kitchen. Freezers are maintained at a temperature of 0-degree F and the refrigerators at a maximum of 45 degrees F. Sufficient supply of 2 days perishable & 7 days non-perishable foods was observed in the kitchen. There is an extra freezer in garage with more food. 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. During tour LPA observed comet cleaner and laundry detergent in bathroom #1 under sink deficiency cited. 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 backyard. Passageways and exits are free of obstruction.