Facility Evaluation Report

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit for the Required 1 Year Inspection. LPA explained the purpose of today’s visit, and was greeted and granted entry by Behavioral Health Technician (BHT) Vanessa Munoz. Operations Manager (OM) Elissa Venegas arrived shortly after.

For today’s visit, LPA observed a total of five clients in care and two staff members on duty.

LPA Ramirez toured the interior and exterior portions of the facility with OM Venegas. The facility is a two story structure and is licensed for six ambulatory clients. There are a total of five bedrooms, of which three are client bedrooms, and the remaining two are being used as staff office. LPA Ramirez toured each bedroom in the facility and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and kept free of tripping hazards. Smoke and carbon monoxide detectors were tested and operational. There are a total of three restrooms. Restrooms were observed to be in good repair, to have a supply of soap, toilet paper and paper towels. LPA observed bathrooms to have hand washing signs posted. Water temperature tested between 114.8-118.3 degrees Fahrenheit.

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 extinguishers were charged, and one was located by the kitchen, one in the garage, one in the living room and one by the clients' bedroom hallway/group room.

During today's visit LPA observed as the clients returned from an outing to the gym. LPA also observed that clients were participating in a group therapy session.