Facility Evaluation Report

Licensing Program Analyst (LPA) Nancy Guillen is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA was greeted and granted entry into the facility after explaining the purpose of the visit. Administrator (AD) Maria Jimenez was notified via telephone and later arrived to assist with the inspection. LPA observed Administrator certificate is current with an expiration date of November 22, 2026. This is an Adult Residential Facility licensed for six ambulatory clients. LPA was notified that four clients were away at day program. LPA observed one client present at the facility at the time of 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, three bathrooms, a living room, kitchen, covered patio, dining room, and attached garage with a exterior entrance. LPA observed required department postings posted on the wall in the kitchen. 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. LPA observed knives and sharps to be stored in a locked kitchen drawer. Gas stove, microwave, dishwasher, washer, and dryer were all inspected and observed to be operable. The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked storage cabinet located in the kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care.