Facility Evaluation Report

On 10/26/21 at 1:00 PM, Licensing Program Analysts (LPA) Nune Margaryan arrived at this facility unannounced to conduct an annual inspection visit. Upon arrival, LPA met with Administrator Genny Guadalquivir who assisted with the visit. The purpose of visit was explained. The facility is licensed to serve four (4) clients, ages 18 through 59 years old. The facility is approved for three (3) Ambulatory and one (1) Non-Ambulatory clients. Currently, there are four (4) clients at the facility.

There is only one entrance being utilized at the facility, all required posters were posted at the entrance. Screening area is located immediately upon entrance. Sign in sheet, hand sanitizer, gloves and masks are available. LPA was screened upon entry. All staff were observed to be wearing mask upon entrance and during visit. LPA toured the physical plant areas inside and outside to ensure compliance with Title 22 regulations. LPA also conducted the infection control domain tool.

LPA and Staff toured the facility at 1: 40PM and the following were observed:

All indoor and outdoor passageways are free of obstruction. Facility has a total of four (4) client bedrooms and two (2) bathrooms, living room, kitchen, dining area, and indoor/outdoor activity areas.

Client rooms were sanitary and had furnished appropriately. The bathrooms were observed to be clean and operational. The hot water temperature was tested throughout the facility and measured within Title 22 Regulation guidelines. The facility has central air and heating accommodations. There are sufficient lightings in all rooms to ensure comfort and safety for clients. There is a functioning telephone on the premises and there is emergency lighting, such as flashlights and night lights.

The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. All storage areas for cleaning solutions, toxins and knives are in a secured cabinet and inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguisher was observed in the kitchen area and was fully charged.