Facility Evaluation Report

Licensing Program Analysts (LPAs) Claudia Gutierrez, Faith La and Rose Ruppert made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPAs were greeted and granted entry by Staff Melania “Mila” David and explained the purpose of the inspection.

During the inspection LPAs and Staff David conducted a tour of the inside and outside of the facility, common areas, client rooms, kitchen, garage and observed the following:

This is a one-story home with six client bedrooms, one staff bedroom, two bathrooms, and attached two-car garage. All client bedrooms had the required furnishings. LPAs observed all client beds had linens and blankets. LPAs observed all windows were screened. The backyard has a shaded sitting area. LPAs observed clients resting and watching television in the living room. Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 105.6-107.6 F degrees. LPAs did not observe emergency disaster plan with means of exiting and emergency phone numbers listed and posted; a Deficiency was cited on today’s date. Food menu was posted and visible. LPAs 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 dated July 21, 2023. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. LPAs observed used lancets being discarded in an empty vitamin container and container being stored with medication in a locked drawer; a Deficiency was cited on today’s date. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be locked.

Licensee Noel Villegas arrived at 1:30 p.m. to assist with the inspection. LPAs reviewed four client files and three staff files. Staff files contained documentation for initial staff training and staff training conducted in the past year. LPAs interviewed three clients and three staff. (Cont LIC809-C)