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 Bill Marcelino Direct Support Staff(DSP) and explained the reason for the visit.

The facility is licensed to serve (6) developmentally disabled clients ages 18 thru 59. Ambulatory only. The single story home is located in a residential neighborhood. Consist of 4 client bedrooms, 1 staff bedroom, 2 bathrooms, a laundry area, a kitchen, dining/living room, a detached garage, a backyard, and a front yard.

The following CARE tool domains were reviewed during this visit:

Infection Control: Facility maintains an infection control plan. Hand sanitizing and infection prevention were observed at the facility. A responsible person was available at the facility.

Physical Plant & Environmental Safety: LPA toured the facility with Renorman Pascual Direct Support Staff and observed the facility is in good repair indoors and outdoors. Living room/dining room has a fireplace which is covered. Each client bedroom has sufficient lighting, the required furniture and bedding supplies. Two (2) bathrooms were observed clean and in good repair. Water temperature was tested between 125.6 - 114.0 degrees F., which is not within the required 105-120 degrees F. Carbon Monoxide/Smoke detectors were tested and are in working condition. Laundry area was observed detergent was above the washer accessible to the clients. Kitchen was observed clean, cleaning supplies were observed unlocked and accessible to the clients. Passageways and exit areas were observed free of obstructions. No large bodies of water were observed. First aid kit and fire extinguishers were observed.