Facility Evaluation Report

Licensing Program Analyst(LPA) Mary Flores conducted an unannounced annual visit at the facility using the CARE inspection tool. LPA met with Segundino Gotladera and explained the reason of the visit.

The facility is licensed to serve 6 ambulatory clients ages 18-59 years old. Facility is a single home located in a residential neighborhood and consists of (4) client bedrooms (2) client bathrooms, (1) staff bedroom, a living room, kitchen, dining area, laundry room, a detached garage used for storage, a front porch, and a back yard.

LPA toured the facility with Wesley Mair Staff and observed the following:

Facility is in good repair indoor and outdoor. Living room has sitting areas and an area for activities. Medication cart was observed locked and a cabinet with a lock drawer was observed for sharps. Kitchen area was observed clean, cleaning supplies were observed locked under the sink. Food was observed and it is not sufficient for at least 2 days of perishables and 7 days of non-perishables for 6 clients. Refrigerator did not have a thermometer. Each client's room (4) was observed with sufficient lighting, furniture. Each client bed had bedding supplies, however there are not additional bedding supplies to be change when needed. Bathroom's (2) were observed clean and in good repair, cleaning supplies were observed in bathroom #1(B1) under the sink accessible to the clients. Water temperature was tested, B1 tested at 121.8 degrees F., and bathroom #2(B2) tested at 119.6 degrees F., which is not within the required 105-120 degrees F. Laundry area was observed in working condition, detergent and solutions were locked. A sitting area was observed in the front porch and sitting area and umbrella was observed in the back of the house. Smoke/Carbon monoxide were observed and tested. Smoke/carbon monoxide detector on a client's room has the light on but did not turn on. Fire extinguisher was observed in the kitchen and last checked on 8/11/23.

Medication and P&I money was reviewed for 4 clients. Files were reviewed for 5 clients, and 5 staff. Client #5 (C5) was missing TB test results. (CONTINUED ON LIC 809C)