Facility Evaluation Report

Licensing Program Analyst (LPA), Lydia Martinez conducted an unannounced Required - 1 Year inspection. LPA Martinez was granted entry into the facility by Staff and reason for the visit was explained. Facility operates an Adult Residential Facility for Persons with Special Health Needs (ARFPSHN). Staff stated Administrator Helen Hillman is on a leave and Desiree Lascano is Acting Administrator (AD). AD Lascano arrived shortly after.

The facility is a one story home with (5) bedrooms and (2.5) bathrooms with an attached 2 car garage used for storage. No pools or bodies of water were observed. No firearms are being kept at the facility. The clients served are adults between the ages of 18 to 66 with special health care needs. LPA along with Nurse Bauzon conducted a tour of the interior and exterior of the facility, reviewed facility documents and conducted staff and attempted client interviews. LPA observed the following:

Infection Control: LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that all staff had Infection Control Training.

Physical Plant: LPA observed client bedrooms. facility floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair. The outdoor area was observed to be free of hazards. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature is within regulation. Video cameras are installed outside the facility.