Facility Evaluation Report

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced required annual inspection. LPA De Perio explained reason for visit and was greeted and granted entry by staff on duty (S1) Reynaldo Ricafort. LPA observed the Administrator's Certificate for Hector Obar, which expires on 5/14/24. LPA observed the PUB475 "See Something Say Something" poster posted in the hallway.

LPA De Perio toured the interior and exterior portions of the facility with S1 Ricafort. The facility is a single level structure and is licensed for 4 clients, ages 18-59, of which 1 may be non-ambulatory. Currently, there are a total of 3 clients in care. There are a total of 4 bedrooms. All bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards.

Smoke and carbon monoxide detector and auditory exit alarms were tested and operational. The restrooms were observed to be in good repair, toilets were operational. Water temperature in restrooms were measured at 112.1 degrees Fahrenheit and hand washing signs were also posted in each restroom.

Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked and inaccessible to clients in care. Fire extinguisher was charged, and located in the hallway. LPA De Perio observed the emergency disaster and evacuation plan, which is posted by the kitchen. Facility had back-up emergency food and water supply, located in the kitchen. Toxins were also observed to be locked and inaccessible to residents.

For the exterior portion, LPA De Perio observed patio furniture under shading, and the grounds were free of any hazards. There are 2 gates in the backyard, which was self-closing and self-latching.

LPA De Perio observed that First Aid Kit had all the required components.