Facility Evaluation Report

On 8/28/2024, Licensing Program Analyst's (LPA's) Jenifer Tirre and William Vanegas conducted an unannounced required visit using the CARE Inspection Tool. LPA's were greeted by caregiver and granted entry after stating the purpose of the visit. Administrator (AD) Michael San Diego was present to assist with the facility inspection on today's date.

The facility is a level four licensed for six (6) non-ambulatory clients. Currently, there are four clients present during today’s visit.

This is a single story home with detached garage facility. The facility has four bedrooms (three shared client rooms and one staff room), one staff office and two full bathrooms.

At around 7:20AM, LPA's conducted a tour of the physical plant accompanied by Administrator, and the following was observed: There were no bodies of water on the premises. All rooms were inspected. Beds and bedding supplies were in operational condition, lighting was provided, and storage for the client's personal belongings was observed. Bed linens, comforters, and bath towels were available during the visit. Bathrooms were operational with water temperature measured at 109.4 degrees F. A comfortable temperature of 74 degrees F. was maintained in the facility.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, toxins and sharps objects were stored and not accessible to clients. The kitchen was inspected, and sufficient perishable and non-perishable food was maintained adequately. Facility has two fire extinguishers which were mounted and fully charged. A review of the Medication Records Administration (MAR) was conducted, and LPA observed the records are in compliance.