Facility Evaluation Report

On April 26, 2024 at 2:45pm, Licensing Program Analyst (LPA) Edward Kim and Licensing Program Manager (LPM) Lourdes Montoya conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Kim met with Direct Support Professional (DSP) Keylan Meneses. A phone call was made to Administrator (AD) Claudia Olteanu, where she arrived around 4:00pm and joined the visit. LPA Kim explained the purpose of the visit.

The facility is licensed to operate for three (3) ambulatory clients and three (3) non-ambulatory of which one (1) may be bedridden. The facility is a single-story structure located in a residential neighborhood. It consists of the following: four (4) client bedrooms, one (1) staff bedroom, three (3) bathrooms, living area, dining area, kitchen, and outside covered patio area.

LPA Kim toured inside and outside of the physical plant with DSP Meneses. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided, storage for each client’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. The Client’s rooms were inspected: Client Room 1, Client Room 2, Client Room 3, and Client Room 4. Staff room 1. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured at 113.9 degrees F and 114.2 degrees F. A comfortable temperature of 76 degrees F was maintained in the facility.

LPA Kim observed the facility to be sanitary and appropriately furnished at the time of visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were stored and not accessible to clients. The kitchen was inspected and there is a two-day supply of perishable and seven-day supply of non-perishable food available and maintained properly. The facility has (1) fire extinguisher that was charged and checked on December 11, 2023. The smoke detectors and carbon monoxide were operable. A working telephone (714-519-3082) remains available.