Facility Evaluation Report

Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit and was greeted by Licensee Jesse Quezada. The purpose of the visit was to conduct the Annual Inspection.

License was granted 05/08/2023 for an Adult Residential Facility for ages 18-59 . Capacity of 4 clients, (4) ambulatory, (0) non-ambulatory and (0) may be bedridden.

Currently the facility has 0 clients and is vendorized by ELAC.

The facility is part of a single story home located in a residential area and contains the following: living room, kitchen with refrigerator, oven, stove, dishwasher, sink/faucet, locked storage space for medications and sharps, (4) client rooms, (3) bathrooms for clients; bathrooms with shower, toilet and washbasin. A back yard with shaded area and seating for client use, area for washer and dryer. The residence is equipped with central air and heating.

Annual Inspection was completed which includes the following Domains:

Infection Control, Physical Plant and Environment Safety, Operational Requirements, Staffing, Personnel Records-Training, Client Rights- Information, Client records- Incident Reports, Food Service, Health related services, Incidental Medical Services, and Disaster Preparedness.

Exit interview completed with Licensee Jesse Quezada