Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA was greeted and granted entry by Staff Wilhelmina Bayona and explained the purpose of the inspection. During the inspection, LPA and Staff Bayona conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, garage and observed the following:

This is a single-story house with three client bedrooms, two bathrooms, one staff bedroom, and one tenant bedroom. Facility currently has six clients in care and two tenants. Both tenants have been fingerprinted and background cleared. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. LPA observed all windows were screened. The backyard has a shaded sitting area. LPA observed one staff and one client present, as all other clients were away at day program, working, or at the gym. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested at 120.4 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted. LPA observed the facility has a 2-day supply of perishables and a 7-day supply of non-perishable food as required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguisher was observed to be fully charged with service tag indicating it was last serviced on 3/28/23. Gas stove, microwave, washer, and dryer were all inspected and tested operational. Sharps, all and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication is stored in a locked dresser located in the staff bedroom. LPA reviewed six client files and observed three of six files had Needs and Services Plans dated 9/15/2020. Staff was unable to provide LPA with a recent Needs and Services Plan for three out of three clients; a Deficiency was cited on today’s date. LPA reviewed two staff files and observed an Administrator (AD) certificate with an expiration date of 4/29/21. AD was contacted by phone and admitted they have yet to renew certificate; a Deficiency was cited on today’s date. LPA interviewed staff and clients present.