Facility Evaluation Report

Licensing Program Analysts (LPAs) Erik Zaragoza and Luis De Leon conducted an unannounced Required 1-year visit using the full Compliance and Regulatory Enforcement (CARE) Tools. LPA met with Maria Yolanda Perez, Direct Support Staff (DSP) for the facility, and explained the purpose of the visit. Crystal Alegre, administrator for the facility, arrived shortly thereafter. There are two (2) non-ambulatory and two (2) ambulatory clients residing in the facility.

The following 12 (CARE) tool domains were observed and reviewed: Infection Control, Physical Plant/Environment Safety, Operational Requirements, Staffing, Personnel Records/Staff Training, Client Rights/Information, Client Records/Incident Reports, Food Service, Health Related Services, Incident Medical and Dental, Disaster Preparedness, and Emergency Intervention.

· Infection control practices and Personal Protective Equipment (PPEs) were observed. LPA observed that the facility has a completed infection control plan.

· The facility is a single-story home located in a residential neighborhood that is licensed for a capacity of four (4) bedridden clients between the ages of eighteen (18) through fifty-nine (59). It consists of four (4) client bedrooms, a kitchen that contains the facility’s washing machine, a dining room, and two (2) client restrooms of which Restroom #1 which had a hot water temperature reading of 107.4 Degrees Fahrenheit, and Restroom #2 had a hot water temperature of 106.4 Degrees Fahrenheit. Knives along with the chemicals and cleaning supplies are kept locked and inaccessible to clients. A shaded outdoor area was available for clients in the backyard of the facility.