Facility Evaluation Report

Licensing Program Analyst (LPA) Lorena Casillas met with Administrator Marie Bru for an unannounced one (1) year Required visit for this facility.

LPA arrived at 10:50 am. LPA received no answer at the door. LPA called Administrator and stated reason for the call and visit. Administrator stated that she was in court with a client, but they were finished and would be headed to the facility. Administrator arrived at 11:40 am. All clients were in their day programs or out in the community. Entrance interview conducted.

A tour of the physical plant was conducted with the Administrator at 11:50 am. The facility has four (4) bedrooms and two (2) bathrooms. It is currently occupied by two (2) clients. LPA observed that staff bedroom was locked, and clients do not have access to it.

Infection control: LPA reviewed facility infection control plan received on 07/01/22, to make sure licensee is following current infection control recommendations.

Living and dining: LPA observed the living room to be neat and clean along with the dining room. The facility maintains a comfortable temperature at 68°F. LPA observed staff and client files locked in the filing cabinet. The smoke detectors and carbon monoxide detectors were tested and observed to be operational at 12:00 pm.