Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with staff Maribel Garcia and was granted entry to the facility. Licensed capacity is (6) current census (5). LPA was accompanied by to substitute administrator Amirr Younes to conduct a general overall inspection and Licensee Ahmed Oasim was contacted and informed about today's visit.

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). The facility is maintained at a comfortable temperature. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated space for client/staff files. Facility has sufficient care staff for coverage 24 hours a day, 7 days a week.

Deficiencies for facility tour: LPA observed the dining area, living room, C3 bedroom and bathroom light bulbs to be out of service. Client’s bathroom cabin had dirt inside, and wall frames located by the dining area had dirt and dust. LPA observed rat droppings and one alive cockroach. In addition, two sections of the stove were not working. S1 stated they use a fire match to turn on the right side of the stove. During outside facility tour, LPA Rico observed the facility had trash bags full of client’s belongings blocking the pathways. Furthermore, LPA Rico observed the dry storage food pantry had a lock.