Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food review. LPA Mora met with Direct Support Professional Tonnia Allen and explained the reason for the visit. The Administrator Florante Hernandez arrived shortly after. The facility is licensed to serve 3 ambulatory and 1 non-ambulatory clients ages 18 to 59 years old. The facility is in a residential area. A tour of the single-story facility included the living room, family room, dining area, kitchen, 4 client bedrooms, 2 bathrooms, laundry closet, attached garage, front yard, and backyard.

LPA Mora conducted the tour with Florante Hernandez and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen and garage. Sharps were observed locked in a kitchen cabinet. Chemical and cleaning solutions are kept locked under the kitchen sink. The First Aid kit is kept locked in the medication cabinet in the kitchen and it is fully stocked with all required items including a current manual. Clean towels were observed in the bathrooms and extra clean linen were observed in the garage. Dining and living room have sufficient lighting and sitting area. Medications are kept locked in the medication cabinet in the kitchen. Client files are kept in a kitchen cabinet. Staff files are kept in the garage. All bedrooms have all required furniture, lighting, and bedding. All bathrooms were observed with shower mats. One of the bathrooms have grab bars for the non-ambulatory client. The water temperature was tested in both bathrooms and measured at 119.4 degrees F and 119.7 degrees F, which is within the required 105-120 degrees F. Two fire extinguishers were observed in the kitchen and garage and are fully charged. Smoke detectors combined with carbon monoxide were observed throughout the facility and in each room and were operable during the visit. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.