Facility Evaluation Report

At 11:00am, Licensing Program Analyst (LPA) Angela Panushkina arrived at the facility to conduct an unannounced annual inspection. Upon arrival, LPA met with Susana Cortez, who granted access to the facility. Administrator arrived shortly after, and LPA explained the reason for the visit.

At 11:10am LPA conducted a tour of the physical plant and observed the following:

Facility is licensed for capacity of ten (10) Ambulatory clients. There are five (5) bedrooms and eight (8) bathrooms designated for clients’ use. Bedrooms are appropriately furnished and have appropriate lighting. Facility has two (2) awake staff at night. Bathrooms have soap, paper towels and hand washing signs were observed. Extra towels and linens were readily available. The hot water temperature measured at 109.6°F. LPA observed there to be sufficient stock of one-week perishable foods and two-day non-perishable foods. Frozen foods are properly wrapped and stored appropriately. Food storage and preparation areas are clean and inaccessible to pests. At 11:30am, LPA observed all medications and knives were locked in a room, by the kitchen. LPA observed the door had a keypad entry. The facility has eight (8) fire extinguishers located throughout the facility and were last serviced on 07/15/24. At 11:40pm, LPA observed the medication room and medication carts were properly locked and inaccessible to clients in care. Laundry is located in the garage. Two (2) washers and two (2) dryers appear to be in good condition. All laundry supplies are kept inaccessible when not in use with supervision. Smoke detectors and carbon monoxide monitors and tested/inspected by a Fire Inspector on an annual bases. Facility also test all smoke alarms monthly and it is observed to be operational. At 11:50am, LPA toured the outside area and observed appropriate outdoor furniture, with a covered shaded area for clients. There is a swimming pool surrounded with, approximately 5 feet high fence, and you will need a key to gain entry to the swimming pool as it is kept locked at all times. LPA discussed the importance of maintaining the care and supervision to meet the needs of clients. Between 12:00pm to 1:30pm, LPA reviewed records of five (5) client and three (3) staff. Client and staff records appeared to be completed and updated. LPA collected Certificate of Liability Insurance and LIC500.