Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with administrator Amalia Sandoval for an unannounced one (1) year Required visit for this facility.

Infection control: LPA reviewed facility mitigation plan (approved on 03/13/21) to make sure licensee was following current infection control recommendations.

LPA arrived at 9:30 am and was greeted by Administrator. One (1) client was observed in the living room waiting on day program ride. One (1) client observed to be in their room resting. LPA informed the Administrator of the purpose of the visit. Entrance interview conducted.

A tour of the physical plant was conducted with Administrator at 10:15 am. The facility has four (4) bedrooms and two (2) bathrooms currently occupying four (4) clients. The facility is Fire Cleared for four (4) ambulatory.

Food Inspection: LPA conducted tour at the kitchen around 10:20 am observed there to be sufficient stock of two-day perishables and seven-day non-perishables 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 chemicals 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 74°F. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 10:30 am. There is one (1) fire extinguisher located in the kitchen. The fire extinguisher was observed to be full and last serviced on 10/16/2023. Staff and client files were observed to be locked and inaccessible to clients in care.