Facility Evaluation Report

Licensing Program Analyst (LPA) Nancy Guillen is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility, but there was no one present. At 12:41pm LPA notified the Administrator via phone call and Administrator later arrived to assist with the visit. LPA was greeted and granted entry into the facility and explained the reason for the visit . LPA observed Administrator certificate is current with an expiration date of July 28, 2027 . This is an Adult Residential Facility licensed for six ambulatory clients with two clients currently residing at the facility. LPA was notified that two clients were away at day program.

LPA began the tour of the inside and outside of the facility and observed the following:

This is a one story facility with four client bedrooms, one staff bedroom with private restroom, a client restroom, a living room, family room, kitchen, dining room, pool and an attached garage with an exterior exit. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the garage. LPA observed knives and sharps to be stored in a locked kitchen cabinet. Gas stove, microwave, washer, and dryer were all inspected and observed to be operable. The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked storage cabinet located in the kitchen cabinet next to the fridge. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care.