Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Administrator Ronald Dino and the purpose of the visit was discussed.

The following twelve (12) tool domains were completed:

1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility still encourages hand washing. The facility only has an approved mitigation plan.

2. Physical Plant and Environmental Safety: The facility is a single-story home located in a residential neighborhood. There is currently three (3) individual client bedrooms, a living room, dining room, a kitchen which also functions as an office, one (1) shared client bathroom. Water temperature measured at 110 degrees all around. There is a front and back patio area which contains the facility’s washing and drying machines, and a detached garage which serves as a storage area for the facility. Each bedroom had required beds for each client, chairs, night stands, dressers and required bed linen and sufficient lighting and closet space. LPA observed extra linen and towels located on the 2nd floor. All the appliances in the kitchen are working properly. Facility has sufficient space for outdoor activities. No large bodies of water observed. Pathways, hallways and stairs are free of obstructions. LPA inspected the carbon monoxide and smoke detectors which were operable. Fire extinguishers was observed and they are up-to-date, charged and serviced. Last Fire Drill conducted on: 4/4/2024.

3. Operational Requirements: The facility is licensed for a capacity of four(4) of which three (3) may be non-ambulatory developmentally disabled adults, between the ages of 18-59. There are currently three (3) non ambulatory clients. Fire drills conducted quarterly. The facility has a shaded area for clients to use.