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 and explained the reason for the visit. Administrator (AD) Michele Taperez was notified via telephone and later arrived to assist with the inspection. LPA observed Administrator certificate is current with an expiration date of March 19, 2028 . This is an Adult Residential Facility licensed for four ambulatory clients with four clients currently residing at the facility. LPA was notified that three clients were out in the community and one client was 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 three client bedrooms, two bathrooms, a living room, dining room, kitchen, covered patio and an attached garage.

LPA observed required department postings posted on the wall in dining area. 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 hallway storage cabinet and garage. LPA observed knives and sharps to be stored in a locked kitchen drawer. Gas stove, microwave, 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 filing cabinet located in the living room. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care.