Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Caregiver Manuel Suyat and explained the reason for the visit. Shortly thereafter Administrator Cristina Obstaculo arrived. The purpose of the visit is to complete the required inspection.

LPA Trueman toured the facility along with Caregiver Manuel Suyat today 08/10/2023 at 8:45 AM and the following was observed

Facility contains 3 Client Bedrooms and 2 client bathrooms dining room, kitchen, and TV room.

Hot water temperature measured between 105 F. and 120 F. meeting Title 22 Regulations.

Required Annual Inspection included Infection Control Practices, Operational Requirements, Physical Plant/ Environmental Safety, Staffing, Personnel Records/ Training, Client Rights- Information, Client Records- Incident Reports, Food Service, Health Related Services, Incidental Medical Services, Disaster preparedness, and Emergency Intervention.

LPA observed sufficient supply of 2 day perishables and 7 day non perishables. All staff were cleared and associated.

Visitation signage was posted along with signage for hand washing and proper sanitizing.

Licensee maintained an individual admission agreement for each client.

Fire Clearance has been maintained. Each client has personal rights free from corporal or unusual punishment, infliction of pain, humiliation, ridicule, coercion, threats, mental abuse, or other actions of a punitive nature.

Program site was clean, safe, sanitary, and in good repair at all times for the safety and well being of clients, employees and visitors.

Medication was reviewed and was given per physician's directions. 4 Client Files and 3 Staff Files were reviewed.

Interviews were conducted with 2 Staff and 1 client. 3 client's were at day program, 1 refused to be interviewed and 1 is in the hospital.

Bathtub contains mold around basin, water faucet knob broken off, and window screen torn in client's room.

Backyard area cluttered with mattress, beds, chairs and table.

Deficiencies cited on 809 D. Exit interview conducted and copy provided.