Facility Evaluation Report

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced annual visit at the facility using the CARE Tool. LPA met with the Administrator, Luz Rasco and explained the purpose of the visit. The facility is licensed to serve one (1) non-ambulatory and three (3) ambulatory clients ages 18-59. Facility is operating within the scope of its license.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

1. Infection Control: The facility continue to practice infection control with hand washing and disinfecting the facility. The facility has sufficient PPE supplies. However, based on record review, LPA observed that the facility could not provide a copy of the Infection Control Plan during the visit.

2. Physical Plant and Environmental Safety: A tour of the single-story facility included the living room, dining room, kitchen, four (4) client bedrooms, two (2) client bathrooms, laundry area, front yard, backyard, and detached garage/office room. Each client's bedroom has two beds, two drawers, a nightstand, the required furniture and bedding and sufficient lighting and close space. The clients’ bathrooms are clean, sanitary and in good working conditions. Clean towels and extra clean linen were observed in the hallway cabinet. The hot water temperature in both bathrooms were tested between 105.7- and 107.0-degrees F which is within the Title 22 regulation. All the kitchen appliances are working properly. Sharps were observed locked in a kitchen cabinet. Chemical and cleaning solutions are kept locked in a cabinet above the washer and dryer and also under the kitchen sink. There's a telephone service on the premises. No bodies of water were observed in the facility. LPA inspected the carbon monoxide detectors and it's working well. The fireplace has a fence cover. The passageway, walkway and patio are free of obstruction. A fire extinguisher was observed in the kitchen and is fully charged. There is a shaded area with seating in the backyard.