Facility Evaluation Report

Licensing Program Analyst (LPA) Lydia Martinez made an unannounced visit to conduct a Required - 1 year inspection. LPA was allowed entry into the home and met with Direct Support Professionals (DSP's) Marvel Ontiveros and Maricel Paronable. Administrators (AD) Lenette Belen and Administrator Alma Encelan arrived shortly after. AD Belen has an Administrator Certificate expiring on 02/04/2025. There are two of six Clients present during today's visit. LPA, along with DSP Ontiveros toured the physical plant. LPA observed the facility to be clean and in good repair. The home is maintained at a comfortable temperature. Client bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each client comfortably. Client bathrooms were checked and toilets and water faucets worked properly and shower was free of mold/mildew. Hot water temperature was within regulatory requirements. Client bath towels, toiletries and personal hygiene supplies were adequately stocked. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen is clean and organized. Perishable and non-perishable food supply was checked and adequately stocked. Appliances are operational during today's visit. LPA observed sharps and cleaning supplies locked in a kitchen cabinet and in the garage. Smoke detectors and carbon monoxide detector tested operational; Fire extinguisher was fully charged and mounted. No bodies of water were observed outside. Walkways around the home were clear of hazards. Exit gates are unlocked and self-latching. LPA observed First Aid kit contained required items. Last Fire Drill was conducted on 07/18/2024 and are conducted monthly. LPA observed emergency supplies including food and water in the garage. LPA reviewed six client files and two staff files. Client files contained required documentation such as health assessments and admission agreements. Staff files contained required documentation including fingerprint clearance and required training. Medication was observed to be in a centrally stored location and medication reviewed appeared to have been dispensed accurately. P & I money matched facility ledger. Liability and Surety Insurance certificates are current. LPA observed board games, movies, and karaoke machine for Clients use.

Based on observations made during today’s visit, no deficiencies are being cited. This report was discussed with Administrators and a copy was sent to email on file.