Facility Evaluation Report

Licensing Program Analysts (LPAs) Samer Haddadin and Claudia Gutierrez conducted an unannounced visit for the purpose of conducting an annual inspection. LPAs were greeted and granted entry. LPAs met with staff member 1 (S1) Erika Vasquez and discussed the purpose of the inspection.The facility is an Adult Residential Facility (ARF) and is licensed for 6 ambulatory clients. Currently there are four clients in care. The facility is a one-story home which houses the family room, living room, dining room, kitchen, staff office, backyard and de-attached two-car garage. The facility also has four client rooms, and two full bathrooms.Facility appears clean, safe, and sanitary. All clients’ rooms had required elements, including bed, chair, closet space, and ample lighting. Facility had extra linens and hygiene supplies for all four clients. Restrooms were stocked with soap and paper towels. Hot water measured at 109.3 degrees Fahrenheit in both bathrooms. LPAs observed the facility had a two-day supply of perishables and a seven-day supply of non-perishable food was available as required by regulations. LPAs observed hallways and walkways were free of obstruction. LPAs observed the fire extinguisher was charged based on the arrow on the extinguisher's meter pointing into the green zone. The service tag indicates the extinguisher was last serviced on October 1st, 2024. (S1) tested smoke and carbon monoxide detectors. LPAs observed the detectors to be operational.Chemicals and toxins are locked up in the hallway closet. LPAs noted the facility's knives and sharps are in the kitchen secured and locked. Medication for each client is kept locked in the staff office as well as staff and clients’ files. The backyard has one shaded seating area, and the exit gate is unlocked and unobstructed. No bodies of water observed.LPAs reviewed four clients’ files, medications, and P&I records; no discrepancies observed. LPAs reviewed two staff files. All files of staff and clients contained all required documentation. Upon review of records, the facility is up to date with required quarterly fire drill, which was last conducted in September 10, 2024. The administrator certificate expires on August 2025, 2025.Administrator Griselda Elair arrived at 10:25 a.m. No deficiencies were noted during today's inspection visit. An exit interview was conducted, and a copy of this report was provided to the facility staff .