Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez conducted an unannounced Required - 1 year evaluation. LPA Martinez met and was granted entry by Administrator (AD) Jean Camacho. Administrator (AD) Gloria V. Uy was notified via telephone of LPA's presence at the facility. AD Camacho has a current Administrator Certificate which expires on 06/07/2025.

LPA Martinez reviewed whether facility is operating within capacity limitations. AD Camacho reported census is 5. Three clients were present during this visit. Two were at Day Program. Facility is a LeveI 3, licensed for a capacity of 6. The facility is a 1 story home that consist of 4 bedrooms, of which 1 is occupied by live-in staff, 3 bathrooms, kitchen, living-room with dining room, family room, laundry room next to kitchen, 2 car attached garage that is used for storage. The backyard has a patio cover and sofas for clients and visitors use. Washer and dryer observed. LPA, along with AD Camacho conducted a tour of the inside and outside of the facility; all passageways and other areas of potential hazard were inspected. Client bedrooms were observed to be spacious and easily accommodate furnishings such as lamps, chair, dresser and a bed. Bathrooms were clean, faucets, showers and toilets were operational. LPA observed plenty of hygiene items, such as soap, toilet paper, toothbrush, and toothpaste for the clients. The facility has a clean supply of linen and towels for each client in care. Hot water temperature in client bathroom was within regulatory requirements. Toxins and disinfectants were observed under kitchen sink and in locked entry closet. Sharps were observed in locked kitchen drawer. Kitchen and dining area were inspected. Food prep area is clean and organized. Food supply meets the requirement of one (1) week supply of non-perishable and two (2) day supply of perishables. Facility has a working centralized heater and air conditioner to use for cold or hot weather as needed. The home is maintained at a comfortable temperature for the clients. Temperature during the visit was 76 degrees F. Medication reviewed was labeled and stored and secured in a locked kitchen cabinet. Medication appears to have been dispensed accurately.