Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility for an unannounced one (1) year required visit. LPA met with Administrator/Licensee Marie Lara Bru.

LPA arrived at 09:15 am. LPA was greeted and given access by Administrator. LPA explained the reason for the visit.

A tour of the physical plant was conducted with Administrator at 09:45 am. The facility has four (4) bedrooms and two (2) and bathrooms currently occupying five (5) clients. One (1) bedroom and one (1) bathroom are designated for staff use only. The facility is Fire Cleared for six (6) ambulatory. All clients were at day program.

Infection control: LPA reviewed the mitigation plan approved on 3/13/21. The facility is following current infection control recommendations.

Living and dining: At 09:50 am, LPAs observed the living room and dining room to be neat and clean. The facility maintains a temperature of 71°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 09:55 am. LPAs observed the locked filing cabinet storing client’s medications, staff and client records.

Kitchen: LPA conducted a tour of the kitchen around 10:00 am and 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. The knives and sharp objects are kept in the locked staff room. There are two (2) fire extinguishers located in the kitchen and the hallway. The Fire extinguishers were observed to be full and last serviced 04/24/2024.