Facility Evaluation Report

Licensing Program Analyst (LPA) Kruz Long conducted a site visit for the annual inspection. Upon arriving at the facility LPA met with Benny Moreno (Administrator) and explained the purpose of the visit. The facility is licensed to serve age range 18 through 59. 6 ambulatory only.

The facility is located in a residential area. A tour of the single-story facility includes: Living room, kitchen, dining area, 3 client bedrooms, 1 staff bedroom, 2 bathrooms, attached garage/laundry area.

During today’s visit, LPA observed the following: Licensee is not operating beyond the conditions and limitations specified on the license, including the capacity. There are no pools or large bodies of water on the premises. There are no firearms on the premises. A comfortable temperature for clients is maintained. Lamps or lights in all rooms to ensure the comfort and safety were observed. Hot water temperature measured at 112.4 degrees F in the east bathroom. All toilets, hand washing and bathing facilities is safe, sanitary and in operating condition. Hygiene products are readily available. Nonperishable foods for a minimum of one week and fresh perishable foods for a minimum of two days were observed. Sufficient staff as necessary to ensure provision of care and supervision to meet client needs were observed. All staff have a criminal record clearance. Initial Needs and Services Plan is updated. Staff responsible for direct care and supervision have current first aid. LPA was allowed to enter the facility to conduct the inspection. The administrator is on the premises a sufficient number of hours necessary to adequately administer the facility in compliance with applicable law and regulation. All medications are labeled and maintained in compliance with label instructions and State and Federal law. Medications are safe, locked and inaccessible.

Knife drawer is unlocked in the kitchen. Open pack of butter and an open can of beans were observed in the refrigerator. Obstructions in both the east and west passage ways was observed. LPA observed that all kitchen flooring tiles has been removed due to renovations.

Per Title 22 Regulations, the deficiencies observed are documented on LIC809D. Failure to correct the deficiencies may result in civil penalties.

An exit interview was conducted and a copy of this report and appeal rights provided to Benny Moreno.