Facility Evaluation Report

At 10:30 a.m. Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to deliver an annual inspection report. On 6/17/22, LPA Ruiz conducted an annual inspection. Due to technical error, this report is a copy of the annual inspection that took place on 6/17/2022.

Upon arrival, LPA was greeted by Administrator Ronald Basa and granted access to the facility. An entrance interview was conducted. The purpose of the visit was explained. Upon entrance LPA observed covid-19 signage posted outside the facility and along the main entrance. LPA observed a visitor’s sign in log, and a thermometer. Hand sanitizer and PPE supplies were readily available. Administrator proceeded to ask LPA infection control questions.

At 10:20 a.m., LPA initiated a physical plant tour. This is a six (6) bedroom two (2) bathroom Adult Residential Facility, four (4) of which are designated for client use. LPA was able to tour the home and did not observe any immediate health and safety concerns. Sufficient PPE supplies were observed. The fire extinguisher was observed in the kitchen area and has a date of purchase of 10/22/2021. Smoke detectors and carbon monoxide monitors were observed to be functional. LPA observed there to be sufficient stock of one-week non-perishable foods and two-day perishable foods. Sharps, cleaning supplies and medications are centrally stored and are kept locked in various kitchen cabinets and drawers. Extra towels and linens were readily available. The backyard is clean, has various covered shaded areas. There is a gated pool on the property, and it is kept locked and inaccessible to clients.

No deficiencies issued during today’s visit. Report was signed and delivered by the Administrator. An exit interview was conducted with the Administrator.