Facility Evaluation Report

Licensing Program Analyst (LPA) Claudia Gutierrez made an unannounced visit for the purpose of conducting a Required/Annual Inspection. LPA met with Facility Manager (FM) Helen Balbalang and discussed the purpose of the inspection. Administrator (AD) Matthew Nazareno was contacted by phone and arrived at 9:30 a.m.

During the inspection LPA and FM conducted a tour of the inside and outside of the facility, common areas, client rooms, staff offices, kitchen, dining room, and observed the following:

This is a one-story complex with 24 client bedrooms, and three common bathrooms, most client bedrooms contain half bathrooms as well. All client bedrooms had the required furnishings. LPA observed all client beds had linens and blankets. LPA observed all windows were screened. The courtyard has a shaded sitting area. LPA observed maintenance staff and direct care staff and clients throughout the facility. Clients were observed resting in their respective bedrooms, watching television, and conversing in the courtyard. Bathrooms were observed to be free of debris, faucets and toilets were operational. Water temperature tested at 144.1 F degrees; a Deficiency was cited on today’s date.

LPA observed emergency disaster plan with means of exiting and emergency phone numbers listed and posted in the facility staff office. LPA observed the facility exceeds 2-day supply of perishables and a 7-day supply of non-perishable food required by regulations. Smoke detectors and carbon monoxide detectors tested operational. Fire extinguishers were observed to be mounted and fully charged. Stove burners, microwave, washer, and dryer were all inspected. Sharps were observed locked in the kitchen. All and any toxic chemicals, cleaning solutions, laundry toxins and disinfectants are inaccessible to clients. Medication cabinet was observed to be locked in the staff office. LPA reviewed seven client files and five staff files. LPA interviewed seven clients and three staff. (Cont. LIC809-C)