Facility Evaluation Report

Licensing Program Analysts (LPA) Nancy Guillen conducted an unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by care giver Leopoldo Morales and LPA explained the nature of the visit. Administrator Wilfredo Quesada was notified and assisted over the phone, but was not present due to being out of town.

Five clients reside at this facility, LPA was informed two clients were out in the community. At the time of visit there was only three clients present. LPA began the tour of the inside and outside of the facility with care giver. 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 an additional refrigerator in the garage. The facility is maintained at a comfortable temperature. LPA observed that medication is centrally stored in a locked storage cabinet located in the kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to clients in care. LPA inspected the bathroom and measured the hot water temperature ranging from 109.4 to 111 degrees Fahrenheit. All bathrooms observed to have a supply of soap, toilet paper and paper 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 the garage. The facility has an available clean supply of linens.

LPA inspected client’s bedrooms which have sufficient lighting to ensure the safety and comfort of clients in care. All bedrooms observed to have all required components. Storage space is provided for clients in their bedroom. Smoke detectors and carbon monoxide 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 is shaded seating areas for client’s enjoyment. LPA observed a fire extinguisher fully charged in the kitchen. Fire drills conducted every three months with the last drill conducted on January 31, 2025.