Facility Evaluation Report

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Lead staff member Hayley Montes and explained the reason for the visit. Facility has 3 bedrooms, 2 bathrooms, living room, kitchen, staff office, and an attached two car garage. In the backyard there is a one room building that is a therapy room, this building was part of the fire clearance report and is approved for use as a therapy room. Facility is licensed as a Transitional Social Rehabilitation Facility for 6 ambulatory clients. LPA and staff toured the facility. LPA observed a seating area in the living room with a large screen TV. LPA observed the See Something, Say Something poster (PUB 475) posted in the main entry of the facility. LPA observed the facility license, facility certification certificate from the Department of Health Care Services posted next to the front entrance along with personal rights of residents/clients. The fire extinguishers in the kitchen and hallway are fully charged. The smoke detectors/carbon monoxide detectors tested operational. LPA observed the kitchen is clean and organized. LPA observed a 2 day perishable and a 7 day non-perishable food supply in the kitchen. LPA observed the medications and knives are kept locked in the staff office. Cleaning supplies are kept locked in the hall closet. LPA observed that the 3 client bedrooms had the required furnishings and bed linens. LPA observed both bathrooms are clean and operational. Hot water measured 120.0 degrees Fahrenheit in both bathrooms. LPA observed clean linens and towels stored in the hall closet. No obstacles or hazards observed inside of the facility. The garage has a portable air conditioner and is used as an exercise room. Staff reported that clients are not allowed in the garage without a staff member. The fire extinguisher in the garage is fully charged. LPA observed a 3 day supply of emergency food and water in the garage. LPA toured the backyard. No bodies of water observed. There is a covered patio with shaded seating in the backyard. LPA observed the therapy room in the backyard. The therapy room is kept locked and it is only used with a client and a therapist.