Facility Evaluation Report

Licensing Program Analysts (LPA ) Elena Mallett arrived at the facility to conduct an unannounced Annual visit. LPA met with Administrator Jessica Diaz and the purpose of the visit was explained. The facility is licensed to serve four (4) ambulatory clients between the ages of 18 through 59.

The facility is a single-story home, located in a residential area of Lakewood that consists of a living room, dining area, kitchen, four (3) client bedrooms, (2) bathrooms, detached garage, a front yard and backyard with a shaded seating area.

LPA completed the visit using Compliance and Regulatory Enforcement Tools (CARE) . The following domains were completed during the visit

Infection Control: Infection Control Plan was reviewed by LPA. Facility follows title 22 regulations and is cleaning and disinfecting regularly. Staff has PPE and practices hand hygiene.

Physical Plant and Environmental Safety: Physical plant is clean and sanitary and the hallways and walkways are free from debris and obstruction. Hot water temperature measured within Title 22 regulations (105-120F) in both bathrooms. Facility has smoke and carbon monoxide detectors that were tested and operational. Two fully charged fire extinguishers were present. Sharps, poisons, cleaners and toxins are locked in cabinets. Client bedrooms had required light and furnishings. Extra linens and blankets were observed.

Operational Requirements: Fire clearance approval was observed. Plan of operation was observed. Outdoor activity space with a furnished, shaded area was present. Activity supplies for clients were observed.