Facility Evaluation Report

On 11/16/2022, Licensing Program Analyst (LPA) Don Senaha conducted an unannounced annual required visit with a primary focus on Infection Control measures using the new CARE Inspection Tool. LPA met with Administrator Vic Jun Flores and explained the purpose of today’s visit. The facility is licensed to operate for forty-eight (48) ambulatory mentally disabled adults ages 18-59.

There are currently (45) forty-five clients in placement . All forty-five (45) clients are ambulatory. The facility is two buildings next to each other with one side being two stories and the other side being a one story horseshoe of rooms. The facility is located in a residential neighborhood. It consists of the following: 25 client bedrooms, 12 full bathrooms, three (3) storage rooms, activity room, office, lobby, side patio, shaded area front patio, kitchen, dining room, outdoor activity area, laundry room and a parking lot.

LPA and Administrator toured the entire facility inside and out. Documents are posted as mandated by the DPH and CCLD. Bedrooms are occupied by clients and contain the mandated furniture. The bathrooms are clean and operational. Fire alarm system, and carbon monoxide detector are in compliance and operational. No firearms are stored at facility and no bodies of water present. Medications are stored, locked and inaccessible to clients. The water temperature measured 114.0 F-119.5 F in the bedrooms and kitchen sink. A comfortable temperature is maintained in the facility. Ample supply of perishable and nonperishable food is available. Linens and personal hygiene supplies are adequate, hazardous toxins and/or items are inaccessible to clients, fire extinguishers are fully charged. First Aid kit complete and with manual in the office. Exit, walkways and/or passageways, front and back yard are free of debris and/or hazards.