Facility Evaluation Report

Licensing Program Analyst (LPA) Angelica Rea visited facility to conduct the annual inspection. LPA met with Administrator Joel Alonzo, who assisted with the visit.

There are 4 Units which are the client living quarters. Each unit has 2 stories. On the first floor of each unit, there is a living and dining area, kitchen, a bathroom which is shared by the clients and 2 bedrooms. The clients do not cook in the kitchens. Each bedroom has 2 beds. Upstairs, in each unit, there are 2 bedrooms, a bathroom which is shared by the clients, and a storage closet.

There is sufficient closet & drawer space in the client bedrooms; Smoke detectors were tested and are functioning properly; carbon monoxide detectors were tested and functioning properly; poisons, cleaning solutions, disinfectants are inaccessible to clients; toilets, hand washing and bathing facilities were inspected; LPA observed a sufficient supply of extra linen; personal hygiene items such as soap, toilet paper, toothbrush, toothpaste, and combs are available; sharp knives are locked in the kitchen of unit 4, & inaccessible to clients. Freezers and refrigerators are clean and required temperature is maintained; all clients’ medication were labeled and maintained as required and stored inaccessible to the clients. Hot water temperature was recorded to be 119.3 degrees F.

LPA reviewed 4 client files and 3 staff files. LPA observed needs and services plans, admission agreements, physicians reports with TB test results, as well as other required documents. LPA also reviewed medication on today's visit.