Facility Evaluation Report

Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced Required-1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA was met by Magdalena "Maggie" Estrada and explained the purpose of today's visit. The facility is approved to served developmentally disabled clients ages 18 through 59 years, ambulatory only. LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were maintained. Staff are adhering to infection control requirements. The facility has submitted a COVID-19 Mitigation Plan and the Infection Control Plan.

Physical Plant & Environment Safety: This facility is a single story home consists of (3) client bedrooms, (1) office, (2) bathrooms, kitchen, dining room, living room with secured fireplace, laundry area next to the kitchen, detached garage, and backyard with a shaded area with seating. Currently, there are (5) clients residing in the home. Client bedrooms were toured. Each bedroom has a smoke detector, bed, linen, dresser, light, chair and sufficient closet space. Smoke alarms and carbon monoxide were tested and operable. The fire extinguisher near the exit door towards the side yard was last inspected on 02/15/2024. Knives, cleaning solutions, and disinfectants are locked and inaccessible to client. There are no firearms or weapons stored at the facility. Water temperature readings measured within the required 105 - 120 degrees Fahrenheit. Hot water supply measured 106.9 deg F in bathroom #1 and 107 deg F in bathroom #2. There is an ongoing construction inside the home. LPA observed construction supplies, debris and miscellaneous items in the side yard and back yard. There are no pools or large bodies of water.

Operational Requirements: A current Plan of Operation was reviewed. The Infection Control Plan has been added to the Plan. Surety Bond in the amount of $12,000 is valid and expires on 02/08/2026. A fire clearance is in place. Last Fire Drill was conducted on 10/04/2024.

*****Refer to LIC 809C for the continuation of this report.*****