Facility Evaluation Report

Licensing Program Analysts (LPAs) Ruth Martinez and Faith La accompanied with Licensing Program Manager (LPM) Armando Lucero are conducting this unannounced visit for the purpose of completing an annual required inspection. LPAs and LPM arrived at the facility at 1:25pm was greeted and granted entry by Mylene Manze, staff and explained the nature of the visit. Claudia Olteanu, Administrator arrived shortly after at 2:00pm and met with LPAs and LPM.

Six clients reside at this facility, LPA was informed there was one client out in the community. LPA accompanied with Staff/Administrator began the tour of the inside and outside of the facility. LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. 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 spare refrigerator and pantry located in garage. The facility is maintained at a comfortable temperature. LPAs inspected that medication are centrally stored in a safe locked storage cabinet located in the facility office. LPAs reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPAs inspected the bathroom and LPA Martinez measured the hot water temperature which measured 119.5 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink, underneath bathroom sink and in a cabinet located in garage. The facility has an available clean supply of linens. LPA inspected client’s bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. The dual smoke and carbon monoxide detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment. LPA observed a fire