Facility Evaluation Report

Licensing Program Analyst (LPA) Luis Mora conducted an unannounced annual visit at the facility with focus on the infection control domain, medication and food review. LPA Mora met with Vanessa Garcia (Registered Behavior Technician) and Eduardo Zamora (Lead Staff) and explained the reason for the visit. Roger Escorcia (Facility Representative) showed up shortly after. The facility is licensed to serve 4 non-ambulatory clients in the age range of 18 through 59. Facility is approved for delayed egress on exterior gates only. The facility is operating within the scope of its license.

A tour of the single-story facility included the living room, kitchen, dining area, 4 private client bedrooms, recreation room, 2 1/2 bathrooms, office, attached garage, front yard and backyard. LPA Mora conducted the tour with Eduardo, Vanessa and Roger, and observed the following: sufficient food supplies for at least 2 days of perishables and 7 days of non-perishables were observed in the kitchen. Sharps are kept locked in a kitchen cabinet. Cleaning chemicals are kept locked under the kitchen sink and hallway cabinet. The First Aid kit is kept locked in a hallway cabinet and it is fully stocked with all required items including a current manual. Medications are kept locked in a kitchen cabinet. Client and staff files are kept in the office. Clean towels and extra clean linen were observed in a hallway cabinet. Dining and living room have sufficient lighting and sitting area. All bedrooms have all required furniture, lighting, and bedding. The bathrooms were observed with shower mats and grab bars for non-ambulatory clients. The water temperature was tested in the all bathrooms and measured at 113.5, 114.2 and 113.2 degrees F, which is within the required 105-120 degrees F. Fire extinguishers were observed in the kitchen and hallway, and are fully charged. Facility has a wired fire system with carbon monoxide. The front yard and backyard are clean. There is a shaded area with seating in the backyard. No bodies of water were observed at the facility. Passageways and exits are free of obstruction.

Medications for all 4 clients were reviewed. Medications are documented properly and given as prescribed. Files for all 4 clients and 5 staff were reviewed. No deficiencies found with the files. LPA observed administrator certificate for Oscar Monzon - 6016665735 with expiration date 07/09/2024.