Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with Administrator Genny Guadalquivir and Health and Services Coordinator Elsa Montes who assisted with the visit. The facility is licensed to serve four (4) Developmentally Disabled Clients ages 18 - 59 years. The facility is approved for Three (3) Ambulatory and One (1) Non-Ambulatory Clients. Currently, there are four (4) clients in placement, (1) client present during time of visit. During today's visit, LPA used the CARE Tool to complete the annual inspection.

LPA along side with Genny conducted a physical plant tour. The facility is located in a residential area. A tour of the single-story facility includes: Three (3) client bedrooms, two (2) bathrooms, recreation room, living room, kitchen, dining area, and indoor/outdoor activity areas.

Bathrooms are clean and operational with grab bars and non skid mats in place. Client bedrooms were checked adequate furniture in place. The hot water temperature was tested throughout the facility and tested at 110.5, within Title 22 regulation. 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. Toxins and sharps are in a secured cabinet locked and inaccessible to clients. The facility has central air and heating accommodations, facility temperature measured at 72 Degree F.

Smoke detectors and carbon monoxide are combined, detectors are operable and in compliance. The fire extinguisher was observed in the kitchen area and was fully charged. The first-aid kit is fully stocked w/First-aid Manual. The front yard/ backyard is well landscaped, shaded area provided. Hallways and passage ways are free of debris/hazards and obstructions. No evidence of bodies of water (pool) or security bars nor weapons on the premises. The washer and dryer located outside.