Facility Evaluation Report

On 10/16/22, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA met with administrator Rudolfo Dimatulac. LPA explained the purpose of today’s visit. The facility is licensed to serve (76) mentally disordered ambulatory adults ages 18-59 years of age.

The facility is a two-story two structure building located in a commercial neighborhood. It consists of the following: (38) clients’ bedrooms. The building has common men's and women's restroom.with showers. The facility houses an activity room, dining area, kitchen, administrative offices, laundry, and outside patio area.

LPA toured the physical plant with Dimatulac. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #9; #6; #2; #26; #28; #25; #24, and #41. Smoke/carbon monoxide were all tested and were in operable condition. The water temperature ranged from 105.1– 116.4 degrees F. The room temperature ranged from 71--74 degrees F.

LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. Several working landline phones are available on-site. A review of (6) clients’ service files (C1-C6) and (6) staff personnel files (S1-S6) and Medication Administration Records (MAR) were accurate and maintained in order.