Facility Evaluation Report

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual inspection using the Care Inspection Tool. LPA met with Administrator Laura Palomino and explained the purpose of the visit.

The facility is a two story structure in a residential neighborhood. There are four client bedrooms and two bathrooms. The facility offers a service level 4G.

LPA Cho toured the interior and exterior of the facility with the Admin. The facility appeared to be clean and operational. LPA observed the required department postings throughout the facility. There is a minimum of one week of non-perishable and two day perishable food available. The facility is maintained at a comfortable temperature. LPA observed medications are centrally stored in a locked safe in the storage closet located in the hallway. LPA measured the hot water temperature which measured at 118.5 and 118.9 degrees Fahrenheit. All bathrooms were observed to have a supply of soap, toilet paper, and clean towels. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxins, cleaning solutions, and disinfectants are stored locked in the garage. The facility has extra supply of clean linens. LPA inspected the clients' bedrooms which has sufficient lighting to ensure safety and comfort. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. The exit gates were self-closing and self-latching. LPA observed sufficient seating and shading. LPA observed the fire extinguisher was mounted, charged, and serviced on September 5, 2023. The auditory devices, carbon monoxide, and smoke detectors were tested and operational. LPA observed the required 'See Something, Say Something' (PUB475) poster in the living room area.