Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1 Year evaluation using the Care Inspection Tool. LPA Cho was greeted and granted entry by Client #4 (C4) through the exit gate. Staff #1 (S1) greeted LPA in the home. Administrator (Admin) Purita Ramos arrived on premise after dropping off one client at the day program. The Administrator's Certificate for Purita Ramos expires on April 21, 2025.

The facility is a two story home located in a residential neighborhood. Facility offers at a Service level 3 and is licensed to serve four (4) ambulatory clients. There are two clients in care during today's visit with two staff on duty.

LPA observed the facility to be clean and sanitary. Stairway light was not in good repair and the light was not working. The first floor consists of one client bedroom and bathroom. The second floor consists of three client bedrooms and one client bathroom. There is one primary bedroom and bathroom on the second floor occupied by a live-in staff. All common areas were inspected including the laundry room, storage room (on the second floor), and the attached two car garage which doubles as an office. The clients' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The water temperature measured at 109.4 and 118.4 degrees Fahrenheit. The indoor temperature was within a comfortable range. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed more than a two day supply of perishables and seven day supply of non-perishable food. LPA toured the outside grounds. LPA observed the outdoor passageway free of obstruction. The exit gate was self-closing and self-latching. LPA observed sufficient seating and shading. Facility maintains a fire extinguisher which was mounted, charged, and serviced on June 6, 2024. The smoke/carbon monoxide detectors were tested and operational.