Facility Evaluation Report

Licensing Program Analysts (LPA) Jerome Haley conducted an unannounced visit for the purpose of conducting a required one-year annual inspection. LPA Haley was greeted and granted entry by staff and explained the reason for the visit. Staff contacted Administrator Ivy Contreras who arrived a short time later and was present for the remainder of the of the visit.

During the inspection, LPA Haley observed all client bedrooms and bathrooms. All client bedrooms had the necessary elements and were in compliance with regulation guidelines. Client bathrooms were clean and organized. Hot water temperatures were measured in the range of 110.3 degrees Fahrenheit and 112.2 degrees Fahrenheit. Unsecured hazardous cleaning items were observed in one of the client bathrooms in the cabinet under the sink and were properly secured upon discovery. Client medications, a first aid kit, and Client P&I funds are locked in a closet near the entrance of the facility.

In the kitchen, knives and sharp objects are kept locked in a drawer. A pair of scissors were observed on the kitchen counter top near the phone and were properly secured upon discovery. A perishable food supply that meets regulation requirements was observed in the refrigerator. A non-perishable food supply that meets regulation requirements was observed in the cabinets. There is a washer and dryer in the laundry room right outside the garage with a supply of emergency food buckets.

The garage was organized and free of clutter. A locked cabinet with hazardous cleaning items, COVID PPE supplies, and hygiene items was observed. There was a second locked cabinet with an addition supply of non-perishable food items. A refrigerator for one of the client’s personal food items was observed in the garage. In the middle of the garage, exercise equipment (treadmill, exercise bike, etc.) was observed. Office supplies and items for activities are stored in the garage as well.

The backyard was clean, organized, and walkways were free of obstruction. A shaded patio area with a table and chairs was observed.