Facility Evaluation Report

Licensing Program Analyst (LPA) Rea conducted an unannounced Required-1 year required annual visit. LPA met with Administrator Brian Buenviaje and explained the purpose of the visit. There are 56 ambulatory mentally disabled clients ages 59 and under, of which 6 may be non-ambulatory. Facility is composed of 2 single-story buildings and one (1) two-story building, with a total of 30 resident rooms with shared bathrooms, dining hall, medication room, kitchen, laundry room, TV area, 2 offices, and outdoor covered patio areas. The kitchen and dining room are located in the middle of the property in a separate building. The facility is equipped with a sprinkler system. The last fire drill was completed on 4/28/2023.

As a part of the inspection, LPA reviewed a (5) client records, (4) staff files, and (5) client medications. LPA toured facility and observed that toxins and sharps locked and inaccessible to clients. Bedrooms are equipped with a (2) beds each, a dresser, lamp, chair, overhead lightning for each client. The facility bedrooms have bathrooms which have a working toilet, wash basin, and bath/shower. Beds have the required linen/supplies which include, pillowcase, mattress padding, fitted sheet, blanket and bedspreads. Supply of hygiene supplies were observed. Facility has sufficient amount of perishable and non perishable food. Fire alarms are interconnected and operational. Smoke detectors and carbon monoxide detector tested and operational. Water temperature within required title 22 regulations, measured at 110.1 degree F.

No deficiencies cited. An exit interview was conducted and a copy of this report was provided to Administrator, Brian Buenviaje.