Facility Evaluation Report

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with caregiver Francisca Rocamora, who was informed of the purpose of the visit. At the time of the visit there was two (2) staff and zero (0) clients present. The clients served are ambulatory adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted interviews. LPA observed the following:

Physical plant, floors, windows, and doors were observed to be clean and fixtures and furniture were in good repair and were present. The outdoor area was observed to be free of hazards and contained a shaded seated area for clients. The sharp and dangerous objects were observed to be locked and inaccessible to clients located under the kitchen sink. The smoke detector and carbon monoxide was operational, and the hot water temperature was recorded at 109 degrees F. LPA observed PPE equipment, hand washing signs, and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements.

LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods.

LPA reviewed staff files and training. All staff have personal records, criminal record clearance, health screening, and updated training. Three (3) client files were reviewed, and possessed all required paperwork including Admissions Agreement, Annual Physician's Report, and current Individual Program Plan (IPP). LPA inspected the P&I for three clients and found no discrepancies.