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 Administrator (AD) Raquel Valdivia.

The facility is made up of 3 units which has 12 bedrooms, 1 of which is for staff use, 6 bathrooms, 1 of which is for staff use, a garage, a central kitchen, 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 bedrooms. LPA and AD tour the inside and outside of the facility. LPA observed the 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. LPA observed that medication is centrally stored in a locked storage cabinet located in the facility office. LPA reviewed medication and observed medications were labeled and stored inaccessible to clients in care. LPA inspected the bathrooms and measured the hot water between 109.7 and 112.5 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 and below the kitchen sink. 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. 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 August 29, 2025. LPA toured the outside of the facility and observed outdoor passageways were free of obstructions. LPA observed there is shaded seating areas for client’s enjoyment.