Facility Evaluation Report

Licensing Program Analyst (LPA) Ashley Calderon conducted an unannounced site visit. Upon arriving at the facility, LPA met with staff Ray Francisco and was later joined by the Administrator Gilbert Fierro who assisted with the visit. The facility is licensed to serve four (4) Developmentally Disabled Clients ages 18 - 59 years of age. The facility is approved for four (4) Ambulatory Clients only. Currently, there are four (4) clients in placement, of which 1 is in rehabilitation center. During today's visit, LPA used the CARE TOOL and conducted a tour of the physical plant.

The facility is located in a residential area. A tour conducted alongside with Ray Francisco of the single-story facility includes: Four (4) client bedrooms, 1 (one) staff room, 2 (two) bathrooms, living room, kitchen / dining area, laundry room , garage (detached/locked) and indoor/outdoor area. The staff room is kept locked and inaccessible to clients at all times. All medications are kept locked in kitchen cabinet and inaccessible to other clients. The bathrooms are clean and operational. Client bedrooms were observed with adequate furniture .The hot water temperature was tested throughout the facility and measured within Title 22 Regulation guidelines. The kitchen was observed for the ability to prepare and serve food. LPA observed an appropriate food supply of two (2) days of perishables and one week (7 days) of non-perishables. Solutions, toxins, knives, and hazardous items are in a secured cabinets (laundry room and kitchen area) and inaccessible to clients. Smoke detectors and carbon monoxide detectors are operable and in compliance. LPA observed a pull-switch fire alarm in the living room. The fire extinguisher was observed in the kitchen area and was fully charged. Fire Drill conducted on 1/12/23. The first-aid kit is fully stocked. The front yard is well landscaped with steps that leads to the entry. Backyard observed and no body of water was observed. Passageways are free of obstruction.