Facility Evaluation Report

Licensing Program Analyst (LPAs) Victoria Chitgian and Mary Rico conducted an announced visit to complete a pre-licensing inspection and component III on 6/1/2023 . LPAs met with Licensee Olga Morales. The pending application is for an Adult Residential Facility for four (4) ambulatory clients.

The interior and exterior were toured of the pending facility. Overall, the pending facility is clean and of newer construction. There no pools or bodies of water. LPAs observed all bedrooms to be appropriately furnished with adequate lighting. Bathroom toilets, showers faucets are functional. The hot water temperature was measured in the client’s bathroom at 119 degrees Fahrenheit. Facility temperature was measured 68 Fahrenheit. LPAs observed food storage and preparation areas to be clean and sanitary. Refrigerator and freezer temperatures are maintained at appropriate temperatures. All appliances are clean and operating properly. There is a sufficient supply of linens, towels, and personal hygiene items. The first aid kit was reviewed; all items are present including a First Aid Manual. LPAs observed an adequate supply of recreation and leisure items and activities. The backyard is completely enclosed with functioning gate to exit to front yard. Outdoor space is suitable for client use that includes a covered patio with a table and chairs. LPAs observed the fire extinguishers to be recently serviced and completely charged. Smoke alarms and carbon monoxide detectors are present and functional. Medications will be centrally stored and secured in a locked cabinet. All hazardous materials such as, cleaning, disinfecting supplies, and knives are locked away inaccessible to clients. No firearms and ammunition will be kept in the facility.

Pre-Licensing is complete and has no deficiencies.

An exit interview was conducted where this report was discussed and provided to Olga Morales.