Facility Evaluation Report

On this day Licensing Program Analysts (LPAs) Rose Ruppert and Fred Arias made an unannounced visit to conduct a required annual visit. LPAs were greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 6 ambulatory clients. The facility currently has 6 clients. AD Punzalan has a valid certificate that expires on 9/7/2026. AD provided updated liability insurance that expires on 6/1/2025.

LPAs along with House Manager Anicia Lorenzo toured the facility at 2:00 PM. LPAs toured the physical plant, checked food service, facility documentation and the first aid kit. The home consists of 6 client bedrooms, living room, dining room, and kitchen as well as 3 bathrooms. 4 out of 6 client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. 2 client bedrooms did not have required furniture due to their Individualized Program Plans. Client bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 109.9 degrees F and 111.9 degrees F in all bathrooms. Client bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards. LPAs toured the kitchen and observed sharps locked in a cabinet during today's visit. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Microwave was not operational during today's visit. Smoke detectors tested operational during today's visit. Fire extinguishers were fully charged. LPAs reviewed the emergency disaster plan and infection control plan and the plans were complete and thorough. Facility conducts quarterly emergency drills with the last drill conducted on 12/11/2024. Outside grounds were toured. Walkways around the home were clear of hazards. There are no security bars or weapons on the premises. First aid kit contained all required items including tweezers, scissors and thermometer. Facility conducts activities in the form of outings, sports and exercise. There is shaded outdoor seating for clients. Exit gates are unlocked and operational. LPAs observed the emergency water supply. LPAs reviewed 6 client files and 3 staff files.