Facility Evaluation Report

Licensing Program Analysts (LPAs) Lorena Casillas and Melissa Spaeth met with Administrator Monica Vartanian for an unannounced one (1) year Required visit for this facility. The facility is currently on a non-compliance plan.

LPAs arrived at 10:00 am. There was no one in the facility. LPA Casillas called Administrator and was told that staff would meet with us in about 20 minutes. LPAs were met by staff member Maria Esquivel. Administrator arrived shortly after. LPAs informed the Administrator of the purpose of the visit. All clients were in their day programs. Entrance interview conducted.

A tour of the physical plant was conducted with the Administrator at 10:50 am. The facility has five (5) bedrooms and two (2) bathrooms. It is currently occupied by three (3) clients. One (1) bedroom is designated for staff use only.

Infection control: LPAs reviewed facility mitigation plan (approved on 01/30/21) to make sure licensee was following current infection control recommendations.

LPAs conducted tour of the kitchen around 10:50 am and observed there to be sufficient stock of two-day perishables and seven-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas care clean and inaccessible to pests. LPAs observed chemicals, all knives, and sharp objects in the locked kitchen cabinet under the sink. LPAs observed the medications cabinet locked, along with the first aid kits.