Facility Evaluation Report

On 04/19/24, Licensing Program Analyst (LPA) Villegas conducted an unannounced annual required visit using the CARE Inspection Tool. LPA met with Program supervisor Glendy Franco as the purpose of the visit was explained. The facility is licensed to serve 3 ambulatory adults ages 18-59, current census is 2 clients, clients are linked to the Harbor Regional center. Facility fees are up to date.

The facility is a single-story structure located in a residential neighborhood and consists of the following Kitchen, Living room, three (3) bedrooms, two (2) bathrooms, dining area, laundry room (located in hallway closet toward bedroom three (3)), detached garage, outdoor shaded area with indoor/outdoor activity areas. Client bedrooms were checked, mattresses and box springs were in good condition, adequate lighting, plenty of dresser and closet space was observed. Bathroom toilets and water faucets worked properly, shower was free of mold/mildew, and there are sufficient toiletries accessible to clients. The water temperature properly measured between 105-120 F.. A supply of perishable and non-perishable food was observed, toxins and knifes were stored and inaccessible to clients, no weapons nor bodies of water on the premises, exits and walkways are free of debris/hazards. Smoke detectors and Carbon Monoxide were operable

LPA conducted a records review of 1 staff records, 2 client records, LPA was unable to review P&I. A review of 2 medication administration records was conducted, no discrepancies observed. Medications were centrally stored and properly locked, first aid kit was checked and fully stocked.

Client #1 missing Admission agreement, ANS, physicians report, TB test, consent forms, Personal rights.