Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food supplies. LPA Mora met with Program Assistant Luis Rodriguez and Psychiatric Social Worker Miguel Garcia and explained the reason for the visit.

The facility is a Social Rehabilitation Facility licensed to serve 16 ambulatory only clients. This facility is considered a short-term crisis residential treatment program. The program consists of 1 large single-story building. A tour of the single-story building included: reception area, group room, waiting room, 5 offices, 8 client bedrooms, 3 client bathrooms, 1 medication room, kitchen, dining room, outside patio, and outside storage shed.

LPA toured the facility with Luis Rodriguez and Miguel Garcia and the following was observed: a total of 4 clients were at the facility during the visit. The staff to client ratio is 1:3. The program site is clean, safe, sanitary and in good repair. All passageways are free from obstruction. Disinfectants, cleaning solutions and poisons are inaccessible to clients and are locked inside a kitchen cabinet. There are 5 fire extinguishers in total throughout the facility. All the fire extinguishers are fully charged. Facility has a wired fire system throughout the facility. There are multiple carbon monoxides throughout the facility. The bathrooms were observed to be clean and showers have a no-skid mat. The water temperature was tested in all bathrooms and it measured between at 109 degrees F and 114 degrees F, which is within the required 105-120 degrees F. The program maintains a comfortable temperature in each room/office. The First Aid kit is kept in the kitchen and it is fully stocked with all required items including a current manual. Sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Sharps are kept locked in administrator offices. The last fire/emergency disaster and earthquake drills were conducted on 03/29/2022. LPA reviewed 4 client files and observed no issues. LPA reviewed 3 staff records and observed no issues.