Facility Evaluation Report

On 12/16/23, Licensing Program Analyst (LPA) Antonine Richard conducted an unannounced annual required visit with using the CARE Inspection Tool. LPA met with administrator Jennylyn Angeles. LPA explained the purpose of today’s visit. The facility is licensed to serve (48) mentally disordered ambulatory adults ages 18-59 years of age.

The facility is a single-story structure located in a commercial neighborhood. It consists of the following: (24) clients’ bedrooms. Each room has a bathroom in the unit. The facility houses an activity room, dining area,

kitchen, administrative offices, laundry, and outside patio area.

LPA toured the physical plant with administrator Angeles. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, and storage for the client's personal belongings was observed. Bathrooms were found to be within Title 22 regulations and were operational. LPA inspected rooms: #104; #109; #110; #112; #118; #120; #121 and #123. Call buttons and smoke/carbon monoxide were all tested and were in operable condition. The hot water temperature ranged from 111.1F – 112.2F degrees F. The room temperature ranged from 76 – 78 degrees F.

LPA observed the facility to be sanitary and appropriately furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to residents. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. All fire extinguishers were charged and were operable. Several working land line phones are available on-site. A review of (5) clients’ service files (C1-C5) and (6) staff personnel files (S1-S6) and Medication Administration Records (MAR) were accurate and maintained in order. The facility conducted Fire/Emergency Drills on 12/12/23.