Facility Evaluation Report

On 08/19/2024 at 1:00 p.m. Licensing Program Analyst (LPA) Evelin Rios arrived at the facility listed above to conduct an unannounced required annual inspection. LPA knocked on the door and nobody answered. LPA contacted the administrator Tyler Ternus and explained the reason for the visit. Administrator informed LPA clients were at their day program but that the house manager will be able to meet LPA. LPA met with the house manager, Cesar Solis who granted access. Administrator met LPA after.

The facility has a fire clearance for four (4) ambulatory clients with a total capacity of four (4).The facility is a two story home with (4) private bedrooms and three (3) bathrooms.

A tour of the physical plant was conducted with the house manager at approximately 2:50 p.m. and the following was observed:

Food Inspection: LPA conducted a tour of the kitchen and observed there to be sufficient supply of two-day perishables and seven-day non-perishables foods, properly stored. Food storage and preparation areas are clean and clear of clutter. LPA observed all knives, sharp object, locked in a lock box in a kitchen cabinet and inaccessible to clients in care. There are two (2) fire extinguishers one (1) located in the kitchen observed to be fully charged with last serviced date 07/12/2024.

Living and dining areas: LPA observed the living area and dining area to be clean and clear of clutter. The furniture was in good repair and sits the capacity of the facility. LPA observed a fireplace in the living area secured with a screen. Activity area was clean and clear of clutter and stores bored games and crafts for clients in care.

Bedrooms: LPA inspected four (4) out of four (4) client bedrooms. Bedrooms are for private use. LPA observed each client room to be properly furnished with one bed, appropriate night stand, chair, bedding and with sufficient lighting and storage. (Continued on LIC809-C)