Facility Evaluation Report

On March 23, 2019 at 8:27 AM, Licensing Program Analyst (LPA) Mario Leon conducted an unannounced Annual Required Inspection and met with Administrator Quianna Davis (A1) and Facility Manager Israel Diaz (FM1). Three (3) clients and two (2) staff were present in the facility during this inspection.

The Facility is licensed to serve up to 6 ambulatory clients ages 18-59. The facility handles resident debit card income via Trust Management Services, see LIC811.

The home consists of one (1) music therapy room, four (4) resident rooms, two (2) restrooms, kitchen, one (1) dining room, one (1) living room, one (1) staff office, an attached garage with laundry/pantry room and backyard with cabana.

A1 accompanied LPA throughout physical plant tour, including the inside and outside during this inspection. Outside grounds were toured and no bodies of water were observed. Walkways around the home were clear of hazards.

Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. There are no security bars or weapons on the premises.

Resident bathrooms were checked. Toilets and water faucets worked properly, showers were free of mold/mildew and a non-skid mat was in place. Resident toiletries and personal hygiene supplies were adequately stocked. All bath towels are currently soiled.

LPA tested the hot water temperature in Kitchen and it measured at 108.3 F.

Common areas were clean and clear of hazards, doorways were free of obstructions. Documents are posted as mandated.