Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with Administrator Belinda Hicks for an unannounced one (1) year Required visit for this facility. LPA arrived at 10:10 am and was greeted and granted access by staff. All clients were at day program. The Administrator arrived shortly after. LPA informed the Administrator of the purpose of the visit.

Infection control: LPA reviewed infection control plan (approved on 07/14/2022) to make sure the licensee was following current infection control recommendations. Upon entry staff took LPA’s temperature and asked LPA to answer covid symptom questions as well as sign in.

A tour of the physical plant was conducted with Administrator at 10:30 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. One (1) bedroom is designated for staff use only. The facility is Fire Cleared for four (4) ambulatory.

Due to technical difficulties LPA did not use Tool Kit on this annual.

Kitchen: LPA conducted a tour of the kitchen at 10:30 am, LPA observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects, medications, and first aid kit being locked and inaccessible to clients in care.

Living and dining: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 72°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 10:40 am. There is one (1) fire extinguisher located in the kitchen. The Fire extinguisher was observed to be full and last serviced on 04/02/24.