Facility Evaluation Report

Licensing Program Analyst (LPA)Andrea Mendivil conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and granted entry into the facility by Administrator Augusto "JR" Mansinsin and explained the reason for the visit.

At 9:00AM, LPA toured the facility with Administrator Augusto "JR" Masinsin. Facility is 4 bedroom, 2 bathroom single story home with a detached garage. Facility has 4 clients present during today's visit. LPA observed clients relaxing in the facility. Facility appears clean and sanitary. All clients rooms had the required elements as well as restrooms stocked with soap. LPA observed the screening/ sanitizing station in the entrance of the facility. Facility uses a handwritten sign in/ questionnaire. Facility takes clients and staff temperatures and documents. LPA observed supply of emergency food with packs of water. LPA observed locked medication cabinet. LPA toured the outside grounds and exit gates are unlocked and self latching. Facility has a plan for covid testing clients and staff as needed as well as a plan for isolation. All staff and most clients are vaccinated for Covid-19. LPA reviewed all client's files and all contained required documentation including updated emergency information.

No deficiencies noted during today's visit. Exit interview conducted and a copy of this report was left at the facility