Facility Evaluation Report

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Christina Santos and Assistant Administrator (AA) Martha Losoya and discussed the purpose of the visit. The facility currently has 6 clients in care of which 4 are out of the facility.

The facility is a one story home with eight bedrooms, two bathrooms, living room, kitchen, dining room and attached 2 car garage. LPA observed the floors in the facility needing to be cleaned as well as dust build up on the walls and door jams. The client bedrooms had all the required components and furnishings. LPA observed a clean supply of linens for client use in the hall located by the bathrooms. LPA observed the bathrooms to be stocked with soap, paper towels and toilet paper. LPA tested the water to be between 119.4 and 120.3 degrees Fahrenheit. LPA observed the facility staff turn the water heater down. LPA observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day nonperishable food supply on hand. LPA observed the appliances to be operational. LPA observed a half door in between the dining room and kitchen. LPA observed that the door does not have a lock making the kitchen and food accessible to clients in care. LPA observed the centrally stored medication to be in a locked cabinet located in the dining room and made inaccessible to clients in care. LPA observed the garage to be used as extra storage. LPA observed more food storage in the garage pantry, fridge and freezer. LPA observed the emergency food and water supply to be stored in the garage. LPA observed the sharps to be stored in the locked garage pantry. LPA observed the toxins and chemicals in a locked cabinet located in the garage and made inaccessible to clients in care. LPA observed the backyard is free of debris and obstructions. LPA and AD tested the fire alarms and they were found to be operational. LPA did not observe operational carbon monoxide detectors in the facility. Continue on LIC809C