Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility was greeted and granted entry by Enrique Manabat, Administrator and LPA explained the nature of the visit.

Four clients reside at this facility, LPA was informed one client was out in the community. At the time of visit three clients arrived to the facility. LPA accompanied by the Administrator began the tour of the inside and outside of the facility. LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. The facility is maintained at a comfortable temperature. LPA inspected that medication are centrally stored in a safe locked storage cabinet located in a storage closet. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 106.1 Fahrenheit degrees. All bathrooms were observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are locked inaccessible to clients in care. The facility has an available clean supply of linens. LPA inspected client’s bedrooms which have sufficient lighting to ensure safety and comfort. All bedrooms were observed to have all the required components. Storage space is provided for clients in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment. LPA observed a fire extinguisher with service date of August 31, 2023, mounted on the wall. Fire drills conducted every three months. LPA began review of records. LPA reviewed four clients’ records. All the required documentation was present and current in the client’s files reviewed. The