Facility Evaluation Report

Licensing Program Analyst(s) (LPA) Mary Flores conducted an announced pre-licensing visit at the facility.

LPA met with Leah Avila applicant and conducted a tour of the facility.

Fire inspection clearance was conducted on 10/29/22 and facility is cleared for a capacity of 6 ambulatory clients age range from 18-59 years old. The physical plant consist of a single family home, a kitchen, a dining room, a living room, (4) bedrooms; of which (3) are shared client bedrooms, and (1) staff room, (2) bathrooms, a laundry area, a garage, a porch with shaded sitting area, and a backyard area.

LPA Flores conducted a tour with Leah Avila applicant and observed the following:

Sitting area available, furniture is in good condition.

Kitchen is clean and in good repair. Medication cabinet, cleaning supplies cabinet under sink, and additional cabinet next to refrigerator and sharps drawer are kept locked. Dishes and utensils available. Sufficient food was observed for at least 2 days of perishables and 7 days of non-perishables.

All bedrooms have the required bedding supplies, furniture, sufficient lighting and are in good repair.

Bathroom #1 (B1) is a full bathroom with a shower and tub. Tub has about 4 patches that vary from the length of a finger to the size of the palm of an adult hand of paint peeling, and has a 3 inch grab bar on the outer side of the tub and a grab bar on the wall and a skid mat was observed. Water temperature was tested at 111.7 degrees F., which is within the required 105-120 degrees F.

Signs and posters were observed throughout. Screening station, logs for visitors, staff, and clients were observed. Hand sanitizer available.