Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr. arrived at the facility to conduct an unannounced Required 1 Year Inspection. At 1:45 pm, LPA was greeted and granted entry by Lead Staff Marvelita Ontiveros. Administrator Alma Encelen arrived at the facility at approximately 2:00 pm. LPA observed residents present to be participating in a group movie night.

Structure: The facility is a one-story home with three shared resident bedrooms, one resident bathroom, TV room, kitchen, dining room, staff bedroom, one staff bathroom, recreational room, backyard and attached two car garage. That backyard has one exit gate on both sides. There is one shaded seating area in the backyard and one shaded seating area in the front yard.

Client Bedrooms: All resident bedrooms had the required furnishings. LPA observed all resident beds had linens and blankets. LPA observed all windows were screened. Facility provides privacy curtains in shared rooms for additional resident privacy

Toxins: All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to client and will be stored and locked in the laundry room.

Medications, First-Aid Kit & Book: Medication will be stored in a locked cabinet in the hallway. First aid kit is stored with the medication. LPA reviewed 3 clients’ medication. Medication was observed to be properly organized, documented and administered.

Resident & Staff Files: Records are kept on a shelf in the living room. LPA reviewed the AD file, 2 staff files and 3 client files.

Fire Extinguisher: The fire extinguisher is fully charged.