Facility Evaluation Report

Licensing Program Analysts (LPA) Nancy Guillen conducted this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by care provider Alberto De La Vega after explaining the purpose of the visit. Administrator (AD) Reb Agnes was notified via telephone and later arrived to assist with the inspection. LPA observed Administrator certificate is current with an expiration date of October 01, 2027 .This is an Adult Residential Facility licensed for four ambulatory clients with four clients residing at the facility Facility stays within the capacity limitations. LPA was notified that two clients were away at day program and LPA observed two clients were present at the facility during the visit.

LPA began the tour of the inside and outside of the facility and observed the following:

This is a one story facility with four client bedrooms, one staff room, two bathrooms, a living room, kitchen, laundry room, dining room, and an attached garage with an exterior entrance. LPA observed required department postings posted on the wall in the living/dining room of the facility. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in the garage . The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked storage cabinet located in the laundry room. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care.