Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera conducted the required annual inspection. LPA arrived unannounced and met with the RN Jon O'Campo, who assisted with the inspection. The purpose of the visit was explained.

The facility is licensed as an Adult Residential Facility for Persons with Special Health Care Needs (ARFPSHN) to serve five (5) adults ages 18 through 59 and 5 may be bedridden.

LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:

Infection Control: The facility staff are using appropriate hand hygiene and gloves while assisting clients medications. Staff are still cleaning and disinfecting throughout the day. Facility has sufficient PPE supplies and has an Infection Control Plan.

Physical Plant & Environment Safety: The facility has 5 bedrooms, 2 bathrooms, living room, dining room, kitchen, office area, and an attached garage. Clients’ bedrooms were checked and closet/drawer space to accommodate each client comfortably was available. The outdoor and passageways are free of obstruction. There are no security bars or weapons on the premises. Hygiene products are readily available. The hot water temperature was tested throughout the facility and measured between 115.8 – 118.0 degrees F, these are within the required range of 105-120 degrees. The front and back yard are free of debris/hazards. All storage areas for cleaning solutions, and toxins are stored in a locked cabinet. The knives and sharp items are properly stored and locked securely. The last Fire/Emergency Drill was conducted on 2/8/2023. Smoke detectors and carbon monoxide detectors are operable and in compliance. The fire extinguishers were observed and are fully charged.