Facility Evaluation Report

09/30/2024, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 4 clients in care. All clients were leaving for day program during arrival. Administrator, Gamaliel Martin arrived later during the visit.

At approximately 9:15am, LPA and House Manager toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. Refrigerated food was found to be stored in a safe manner being labeled and dated.

Medications were found to be centrally stored. All rooms were equipped with lighting, night stand, and chest of drawers. All rooms were in good repair. Extra hygiene products and linens were available for clients located in the hallway closet. Water temperature in sinks accessible to clients in care were measured at 107.4 F and 108.7 F which is within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 05, 2024. Smoke/Carbon Monoxide detectors located throughout the facility are hard wired and were tested and operational. Toxins, sharps and other items that could pose threat if available to clients were located in the kitchen and were found to be locked and secured. LPA observed First-Aid kit to be fully stocked and have all required items. Facility has a food menu and activities calendar along with games located in the living room for clients to use. Facility had extra supplies such as Personal Protective Equipment located in the garage. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Facilities last fire and disaster drill was conducted 09/02/2024. Cash resources were documented and reviewed.