Facility Evaluation Report, 03/15/2024

On today's date, Licensing Program Analyst (LPA) LPA Rosie Quiroz conducted an unannounced visit for the purpose of conducting a required Annual inspection. LPA was greeted and granted entry into the facility by Administrator (AD) Jane Villacorta. Licensee (L) Emmanuel Villacorta arrived during today's visit.

This is a level 3 home Adult Residential Facility for Developmentally Disabled Adults age range 18 through 59 years of age and approved for five (5) Ambulatory clients, (1) one Non Ambulatory client. There are four (4) clients in care at this time. There are no active COVID-19 cases in the facility at this time. Administrator Jane Villacorta has a Pending renewal Administrator Certificate with expiration date of January 31, 2024. (AD) Villacorta indicated submitting renewal documentation on 1/29/2024, status-pending online.

LPA Quiroz along with (AD) Villacorta toured the interior and exterior of the facility. During today's inspection tour, LPA Quiroz observed Client 1 (C1) in their bedroom resting. Client 2 (C2) and Client 3 (C3) arrived on or about 2:15pm. Client 4 (C4) arrived on or about 2:30pm from Day Program. LPA Quiroz interacted and interviewed with Licensee, (AD) Jane Villacorte and 4 of 4 clients during today's visit.

On today's date, while conducting inspection tour of kitchen area, LPA Quiroz observed 2 of 4 burners not lighting up. Licensee indicated "After cleaning they don't work sometime, but we're going to get a new one."

LPA Quiroz inspected client's bedrooms and bathrooms. The water temperature in client's bathroom was recorded to be 105.8 degrees Fahrenheit. LPA Quiroz inspected client’s bedrooms and appeared to be clean. Facility temperature in client's bedrooms and throughout the facility was recorded to be within normal limits. LPA Quiroz observed the emergency and disaster and evacuation plan. Facility has a supply of emergency food, water and PPE in the garage area readily available for staff and clients in care. Fire extinguisher observed last serviced on 1/11/2024. Two sets of functional and operational washer and dryer in the garage area. LPA Quiroz toured the outside of the facility and observed seating and shaded area in the backyard for residents and visitor's enjoyment. CONTINUED LIC 809-C...