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 Raymond Villaveza -LPT and explained the reason for the visit. Administrator and House manager arrived 15 minutes later.

Facility is licensed to serve four (4) non-ambulatory Developmentally Disabled Adults between the ages of 18-59 years old. Facility is located in a residential area and consist of a single-story home with four (4) bedrooms, two (2) bathrooms, a living room, activity area, kitchen, office, dining area, backyard, and an attached garage.

LPA toured the facility with Raymon Villaveza and observed the following:

Facility is in good repair indoor and outdoor. Living room has seating furniture, and fireplace is cover with plexiglass. Dining/activity area are clean and in good repair. Kitchen area was observed clean, cleaning supplies and sharps were observed inaccessible to clients. Food supplies were observed sufficient for at least 2 days of perishables and 7 days of non-perishables. Each client bedroom (4) has sufficient lightning, furniture, and bedding supplies. Bathrooms (2) were observed in good repair with grab bars and skid strips, water temperature was tested between 113.5-114.4 which is within the required 105-120 degrees F. Medication cart was observed locked and medication refrigerator has a locked container inside. Carbon monoxide/smoke detectors were observed throughout the facility, were tested and are in working condition. Fire extinguisher was observed and last checked on 1/13/23. Laundry area is located in the garage and additional supplies were stored in the garage as well. Backyard is clean and has a covered seating area. No large bodies of water were observed.

Flies and medication were reviewed for 4 clients and 5 staff files were reviewed. Emergency Disaster file and Infection Prevention file were reviewed. Administrator Certificate #6059819735 exp 6/15/25 was reviewed.

No Deficiencies were noted during this visit. Technical violations and advisories were noted.

Exit interview was conducted with Adalid Solano and a copy of this report was provided.