Facility Evaluation Report

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the annual inspection. LPA met with Administrator, Jose Alderete, who assisted with the visit. The initial inspection was conducted on 5/23/24.

LPA continued the remainder of the domains from the CARE tool and the following was observed:

Client Rights-Information: Client rights are posted. There are no clients using postural supports. Facility provides internet service.

Client Records-Incident Reports: LPA reviewed all 3 Client files. The files include the Admission Agreement, Physician's Report (including T.B and Ambulatory Status), Weight Record, Consent For Medical Treatment, Individual Program Plan/IPP, Client Rights, and Property Valuable forms.

Health Related Services: The medications are centrally stored and locked in the closet by the entrance. LPA reviewed medication for all 3 Clients and are being administered as prescribed.

Incidental Medical Services: There are no clients with a restricted or prohibited health condition.

Disaster Preparedness: The facility has the updated Emergency Disaster Plan with emergency procedures and relocation sites.

No deficiencies issued today. An exit interview was held and a copy of this report was given to Jose Alderete.