Facility Evaluation Report

Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced Annual Required / Infection Control visit to the above facility. LPA was met by Administrator Rowena Flores and the purpose of today’s visit was explained.

There are currently (3) clients in the facility. The facility is licensed to serve 6 developmentally disabled clients (age 18-59) and is approved for 6 ambulatory clients.

LPA and Administrator Rowena Flores toured the entire facility inside and out. The facility is a two story home located in a residential neighborhood and consists of 6 bedrooms: 4 client bedrooms, 2 bathrooms (1 bathroom that is located upstairs is a staff restroom), living room, kitchen, dining area, backyard porch with outdoor activity area and shaded seating area for clients. Laundry room is located inside the home and there are cabinets with locks above the appliances where potentially hazardous cleaning supplies and laundry detergents are stored. All client rooms were checked. Clients beds have the required linens which were in good condition at the time of the visit. All bedrooms had sufficient closet/ storage space. Bathrooms are clean and operational and were observed to be within Title 22 regulations. Toilets and water faucets worked properly. Shower was free of mold/mildew, adequate lighting, and sufficient toiletries are accessible to clients. Water temperature properly measured at 110F*. LPA observed the facility to be clean and appropriately furnished with clear passageways inside and outside. First aid kit is fully stocked with manual, smoke detectors and carbon monoxide detector were in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to clients. Ample supply of perishable and nonperishable food, hazardous toxins and/or items are inaccessible to clients, fire extinguisher is fully charged. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards. A shaded area with chairs is provided for clients in the patio area. The facility is in good repair and Facility temperature was comfortable.