Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas arrived at the facility for an unannounced one (1) year required visit. LPA met with Back Up Administrator, Katherine Joy Lara.

LPA arrived at 09:30 am. LPA was greeted and given access by a staff member. LPA spoke to the Administrator over the phone and informed them of the purpose of the visit. The Administrator, Bibiana Lara Bru stated that they would not be able to meet with LPA however Back Up Administrator, Katherine Joy Lara would meet LPA to sign report.

A tour of the physical plant was conducted with Administrator at 10:50 am. The facility has four (4) bedrooms and two (2) and bathrooms currently occupying three (3) clients. One (1) bedroom and one (1) bathroom are designated for staff use only. The facility is Fire Cleared for six (6) ambulatory. One (1) client was present and observed watching TV in the living room, two (2) 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 10:50 am, LPA observed the living room and dining room to be neat and clean. The facility maintains a temperature of 74°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 11:20 am. LPA observed a locked filing cabinet storing client’s medications, staff and client records in the dining area.