Facility Evaluation Report

Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required/ annual visit. LPA was greeted, granted entry into the facility and explained the reason for the visit.

During the visit LPA toured the facility with Administrators Rodolfo Mendoza and Maria Luisa Mendoza. Facility is a 5 bedroom,(3 client bedrooms and 2 staff bedrooms) and 2 1/2 bathrooms single story home. There are 2 Clients in care. Facility has required Department postings. LPA observed copy of Administrators Certificate expiring March 4, 2022. LPA toured all Clients rooms, all rooms where within regulations. All restrooms observed contained soap, toilet paper and paper towels. Restrooms had proper hand washing signs. Clients were observed relaxing in outside patio. Facility has 1 fire extinguisher which is fully charged. Facility has ample supply of PPE. Facility has 2 refrigerators and pantry with ample food supply. LPA observed facility has emergency food and water supply. Facility has required Emergency Disaster Plan posted. Facility has a secured location for client medication and files. Facility has 30 days supply of medications for clients. LPA reviewed clients files during visit. Clients emergency contact information and Physicians reports are current. Facility has designated visitation area.

No deficiencies noted during todays visit. An exit interview was conducted with Administrator and a copy of report was left at facility.