Facility Evaluation Report

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit to the facility today to conduct an Annual Random/Required Evaluation. At 8:00 AM LPA Tea was greeted and granted entry by Francisco Rodriguez, a caregiver. During today’s visit, LPA met with administrator Miriam Salcedo and the assistant administrator, Joanna Navarro of the facility.

The facility is a single-story building with an approved fire clearance of four ambulatory clients. The facility currently has a census of two clients in care.

Around 8:36 AM LPA reviewed one staff record, two client records. There were discrepancies noted in the review of client files. Administrator certificate expired on January 21, 2024, however administrator has complied with all course work and is pending renewal at this time.

LPA Tea with the assistant administrator Joanna Navarro toured the facility at 9:00 AM. The facility consists of: 3 private resident bedrooms, 1 bathroom, sun room , living-room, kitchen, and garage. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in the bathrooms. The hot water temperature measured between 110.3 F and all smoke detectors were operational. Common areas were clean and clear of hazards, doorways were free of obstructions. There is a camera placed in the living room of the facility without audio for the safety of clients in care. LPA observed sharp objects locked and secured in a cabinet in the kitchen area and observed toxin substances to be locked and inaccessible to clients in care underneath the kitchen sink and cabinets in the sun room. LPA inspected the facility food supply and observed perishable and non-perishable food supply was checked and adequately stocked at time of visit. Fire extinguisher in the kitchen was fully charged. The facility’s last fire drill was conducted on May 23, 2024.