Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. LPA met Administrator Josefina Teodoro and the purpose of the visit was discussed. The facility is approved for serve Developmentally Disabled Adults 18-59 years old only and ambulatory only.

The following twelve (12) tool domains were completed:

1. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. The facility still encourages hand washing. The facility has a COVID-19 mitigation plan in place but will need to completed an Infection Control Plan.

2. Physical Plant and Environmental Safety: The facility is a single story house and located in a residential neighborhood area. The facility includes: living room, kitchen, dining area, family room, administrator bedroom, three clients bedrooms and one client bathroom. Client bedrooms observed to have required furniture and beddings, sufficient lighting and closet space. The client bathroom is clean, sanitary and in a good working condition. The hot water temperature in the client bathroom was tested at 115 degrees F which is within the Title 22 regulation. LPA inspected the carbon monoxide detectors and smoke detectors to be functioning properly. The walkway, passageway and the patio are free of obstruction. The cleaning supplies and all other chemicals are locked and inaccessible to clients in care. The extra linens and the personal hygiene products observed. All the appliances in the living room and kitchen are working well. The hallway light is always on during the night time. The facility also has a telephone system in the premises.

3. Operational Requirements: The facility is only approved for ambulatory only. Currently all five (5) clients are ambulatory. Fire drills conducted quarterly. The facility has a shaded area in the patio/backyard with table and chairs for client to utilize for outdoor activity.