Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced Annual Required Visit on 02/23/2023 at 1:45 pm. LPA was met by Administrator Edgar Hernandez and explained the purpose of the visit. Facility is licensed to serve clients 18 to 59 years old. The facility has a fire clearance approved for four (4) ambulatory. There are two (2) level 4I developmentally disabled clients residing at this facility. Clients at this facility are receiving services from ELARC Regional Center. LPA requested and obtained a copy of Personnel Report (LIC 500), and Resident Roster (LIC 9020).

LPA OBSERVATIONS: Tour began at 2:10 pm and was led Administrator Hernandez. The Facility is a single-story building located in a residential area with two (2) client shared bedrooms, one (1) client shared bathroom, one (1) staff bedroom, one (1) staff bathroom, kitchen, dining room, front yard, backyard and attached car garage.

· Front Yard: Was clean and well maintained. No hazards were observed.

· Kitchen: LPA observed kitchen to be clean and appliances appeared to be in working order. LPA observed sufficient 2 days of perishables and 7-day supply on non-perishables. Kitchen sink water temperature was measured at 119.3 degrees F. At 2:17 pm, LPA observed knives and sharps located under kitchen cabinet to the left of stove, to be inaccessible to 2 out of 2 clients in care. At 2:19 pm, LPA observed several bottles of cleaning solution and disinfectants, to be inaccessible to 2 out of 2 clients in care. LPA observed staff preparing lunch for clients during tour. Signs promoting hand washing were observed in this area.

· Dining Room/Living room: Dining room was observed to be clean and contained one table and 5 chairs. Living room was observed to contain 1 love seat and 1 couch. Thermostat located near living room was observed at 68 degrees F. Signs promoting cough/sneeze etiquette were observed throughout this area.

· Linen Closet: Contained plenty linens, towels, and hygiene products.