Facility Evaluation Report

Licensing Program Analysts (LPAs) Alvaro Ramirez Jr and Nancy Guillen are conducting this unannounced visit for the purpose of completing an annual required inspection. LPAs arrived at the facility and were greeted and granted entry by Administrator Raquel Gonzalez. LPAs explained the nature of the visit.

The facility is made up of 3 units which has 3 kitchens, 12 bedrooms- 2 of which are for staff use, 6 bathrooms- 2 of which are for staff use, a garage, and an office space. Seventeen clients reside at this facility. At the time of visit multiple clients were observed to be lounging in the common areas or napping in their respective rooms. LPAs began the tour of the inside and outside of the facility. LPAs observed required department postings posted on the wall of facility. There is a minimum of one week of non-perishables foods and two days of perishables foods available in the main kitchen. There is additional food storage in the spare two refrigerators in the garage. The facility is maintained at a comfortable temperature. LPAs observed that medication is centrally stored in a locked storage cabinet located in the facility office. LPAs reviewed medication and observed medications were labeled and stored inaccessible to clients in care. LPAs inspected the bathrooms and measured the hot water between 107 and 109 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. LPAs observed that toxic chemicals, cleaning solutions and disinfectants are stored locked in the garage and below the kitchen sink. The facility has an available clean supply of linens. LPAs inspected client’s bedrooms which have sufficient lighting to ensure the safety and comfort of clients. All bedrooms observed to have all required components. Carbon monoxide and smoke alarms were tested operational. Fire extinguishers were observed in the living space of each unit and were serviced on June 25,2024. LPAs toured the outside of the facility and observed outdoor passageways were free of obstructions. LPAs observed there is shaded seating areas for client’s enjoyment. LPAs began review of records.