Facility Evaluation Report

Licensing Program Analyst (LPA) Dwayne Mason Jr. made an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into facility by DSP Jorge Gonzales. Administrator Jorge Gonzalez, joined the inspection during the tour.

The facility is a one-story home with four bedrooms, two bathrooms, kitchen, dining room, living room, staff office, backyard and attached 2-car garage. LPA observed residents to be away at day program. Facility appears clean and sanitary. All residents rooms had required elements, including bed, chair, closet space and ample lighting. Restrooms are stocked with soap and paper towels and have hand washing postings. Hot water initially measured below 105 degrees Fahrenheit. AD and staff adjusted the hot water heater and LPA waited approximately twenty minutes to check water temperatures again. Hot water measured at 107.9 degrees Fahrenheit in the common bathroom and 113 degrees Fahrenheit in the shared room bathroom. LPA determined through staff interview that staff use the shared bedroom bathroom, meaning the staff have to use the shared bedroom as a passageway. LPA advised staff to use the common area bathroom. A deficiency is being given on this day. LPA observed facility has emergency food and water supply. Medication for each resident is kept locked in cabinets in the staff office. The backyard has a side patio and two seating areas. Exit gates are unlocked and self latching. LPA observed exit gates to be unobstructed. LPA reviewed three of the six residents files, three personnel files and the P&I. LPA observed the P&I ledger to be inaccurate for one client and the P&I money amount to be incorrect for one client. AD corrected the inaccuracies during the inspection. A deficiency is being given on this day. Smoke and Carbon Monoxide detectors tested operational. Fire Extinguishers were fully charged as indicated by the arrow pointing in the green zone. Service tags indicate Extinguishers were serviced on 7/12/2023.

Two deficiencies noted during today's visit. An exit interview was conducted and a copy of this report was provided to the facility.