Facility Evaluation Report

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Laura Palomino, Administrator and LPA explained the nature of the visit.

Four clients reside at this facility, LPA was informed clients were out in the community. At the time of my visit there was only one client present. LPA accompanied by staff began the tour of the inside and outside of the facility. LPA observed required department postings posted on the wall of facility. Facility stays within the capacity limitations. 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 spare refrigerator in the garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in the facility office. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathroom and LPA measured the hot water temperature which measured 108.6 Fahrenheit degrees. All bathrooms were observed to have a supply of soap, toilet paper and towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in a storage cabinet located in the office. The facility has an available clean supply of linens. LPA inspected client’s bedrooms which have sufficient lighting to ensure safety and comfort. All bedrooms were observed to have all the required components. Storage space is provided for clients in their bedroom. Smoke detectors were tested and found to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas for client’s enjoyment. LPA observed a fire extinguisher with service date of September 05, 2024, in the kitchen. Fire drills conducted every three months and LPA verified last Fire Drill was conducted on January 16, 2024. LPA