Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced post-licensing visit at the facility using the CARE inspection tool. LPA met with Heminia Gonzalez - Soto and explained the reason for the visit.

The facility is licensed to serve six (6) non-ambulatory clients between the age of 18 -59 years old, of which all may be bedridden. The facility consist of six (6) client bedrooms, three (3) bathrooms, a living room, a kitchen, a dining room, a laundry room, a family room, and a garden area.

LPA Flores conducted a tour of the facility with Herminia Gonzalez-Soto and observed the following:

Facility is clean and in good repair inside and outside. Living room, dining room were observed furnished. Kitchen was observed clean, in good repair, with sufficient food stored for at least 2 days of perishables and 7 days of non-perishables. Refrigerator/Freezer temperatures were observed within the recommended -40/0 degrees F. Cleaning supplies were stored/locked in the laundry area. Medication cabinets were observed locked in the hallway. A total of 6 client bedrooms were observed clean, with the required furniture, bedding supplies, and sufficient lighting. A client bedroom was converted into a living room, and a shared client bedroom was converted into two separate bedrooms. Building permits and facility's sketch were not submitted to the department prior construction. Three (3) bathrooms were observed clean in good repair, water temperature was tested in each bathroom between 111.0-130 degrees F. which is not within the required 105-120 degrees F. Passageways and exit doors are clear of debris and obstructions. Facility's yard has a covered seating area. No large bodies of water were observed. Facility has a fire sprinkler system throughout.

LPA reviewed 5 client files, medication, and P&I money, and 5 staff files.