Facility Evaluation Report

On August 28, 2024 at 8:00am, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim was greeted and granted entry by Administrator (AD) Adoracion Mauricio and LPA Kim explained the purpose of the visit.

The facility is licensed to operate for six (6) nonambulatory clients. The facility is a single story structure located in a residential neighborhood. It consists of the following: five (5) client bedrooms, one recreation room, three (3) bathrooms, living area, dining area, kitchen, detached garage, and outside covered patio area.

LPA Kim toured inside and outside of the physical plant with AD Mauricio. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Client’s rooms were inspected: Client Room 1, Client Room 2, Client Room 3, Client Room 4, and Client Room 5. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at between 105.8 degrees F and 106.5 degrees F. A comfortable temperature of 77 degrees F was maintained in the facility.

LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. Emergency food, emergency water, and emergency supplies were stored in the recreation room. The facility has (1) fire extinguisher that was charged, mounted in the garage, and serviced on August 12, 2024.