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 Marlinda Acosta. LPA discussed the purpose of the inspection and Administrator (AD) Dante Benedicto was contacted by phone and arrived at 1:09 p.m.

During the inspection LPA and Staff Acosta 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 four client bedrooms, four bathrooms, and one staff bedroom. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. LPA observed all windows were screened. The back yard has a shaded sitting area. LPA observed two staff and three clients present. During the tour of the facility, Client 1 (C1) informed staff they were going for a walk and staff granted permission. Upon record review of C1’s Physician Repot (LIC602), C1 is not able to leave the facility unassisted and “requires supervision when outside of facility”; a Deficiency was cited on today’s date.

Bathrooms were observed to be free of debris and mildew, faucets and toilets were operational. Water temperature tested between 105.4-107.2 F degrees. LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted at the entrance of the facility. Food menu was also posted and visible. 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. Stove burners, microwave, washer, and dryer were all inspected. Sharps were observed locked in the kitchen drawer. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be locked. LPA reviewed three client files and three staff files. All three facility clients and both staff present were interviewed.