Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Jenifer Tirre conducted an unannounced visit for the purpose of conducting a required annual visit. LPA was greeted and was granted entry into the facility by Administrator. LPA Tirre met with Administrator/Licensee Nicholas Romo and explained the reason for the visit.

During the visit LPA toured the facility with Administrator. Facility is a 5 bedroom ( 3 client bedrooms and 2 live in staff rooms) and 3 bathroom single story home. There are 3 Clients in care. LPA observed proper covid signage at front entrance of facility as well as sanitization and temperature check station. Facility has required Department postings posted. Administrator Certificate posted with observed expiration date 4/29/2023. LPA toured all clients rooms, all rooms where within regulations. All restrooms observed contained working wash basin, soap toilet paper and towels. Restrooms had hand washing signs posted. LPA observed Clients relaxing in living room watching TV and relaxing outside.

Facility has PPE supplies and Administrator was explained the importance of having 30 day supply on hand. LPA observed emergency food and water supply. Facility has fridge with ample food supply. Facility has required Emergency Disaster Plan posted. Facility has a secured location for Client medication and files. Facility has a secured location for toxins. Facility has 30 days supply of medications for clients. LPA reviewed Clients files during visit. 3 of 3 clients files were observed. Clients emergency contact information and Physicians reports are current. Facility has centrally wired operational smoke detectors and 2 fire extinguishers fully charged and mounted. Facility has designated area for visitors.

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