Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Fred Arias made an unannounced visit to conduct a required annual visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Facility is licensed for 70 ambulatory clients and 5 non-ambulatory clients. LPA met with Administrator (AD) Yuridia Luna.

At 9:00am, AD conducted facility tour. LPA observed that the facility has designated rooms for different activities which include but are not limited to activity rooms, a computer room, an exercise room, a media room, dining room, private changing areas and two restrooms for client use, male and female. Water temperature measured at 105.6 degrees F. During the tour, LPA did not observe any items accessible to clients which would pose a risk to their health and safety. LPA observed seven clients throughout the facility being assisted by staff. Vehicle registration is current. Evacuation plan, clients rights, facility license, emergency disaster plan and emergency exits are posted on the wall.

LPA reviewed four client files and five staff files. Four out of five client files contained all required documentation including admission agreements, physician reports, needs and service plans, and consent forms. All staff files reviewed, included medical assessment/ TB, criminal record clearance and proof of CPR training.

The facility conducts quarterly disaster drills with the last drill was conducted on 11/07/2025. Fire extinguishers were charged. LPA reviewed the Emergency Disaster and Infection Control Plans and plans are complete and thorough.