Facility Evaluation Report

Licensing Program Analyst (LPA) Alberto Lopez made an unannounced annual inspection visit. LPA was not allowed entry by new staff initially for about 40 minutes until after LPA spoke with Administrator Ernest Luna via phone and Administrator Ernest Luna arrived about 50 minutes later and assisted with the visit. LPA explained the purpose of today's visit.

This is a one-story Adult Residential Facility (ARF) Level 2 facility consisting of 2 client bedrooms, including 2 shared bedrooms and 2 bathrooms, kitchen, dining room, activities room, laundry section, medication cabinet, staff room and outdoor shaded area. This facility is licensed for a capacity of 4 clients and today's census was 3.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients’ medications. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies. An Infection Control Plan was posted at the facility.

Physical Plant & Environment Safety: The facility is free of debris/hazards. There are no security bars or weapons on the premises. The hot water temperature was tested, and temperature measured between 112.2 -116.9 degrees F which is within required range of 105.0 -120.0 degrees F. All storage areas for cleaning solutions, toxins, knives, and hazardous items are inaccessible to clients. The last Fire/Emergency Drill was 08/24/24. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers were observed inspected yearly.