Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Sara Martinez conducted an unannounced annual required visit on 3/20/2023 at 03:30 p.m. LPA was granted entry and met with Administrator, Deborah Lee-Eberflus who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (3) clients present.

The facility is a one story home with (5) bedrooms and (3) bathrooms. The clients served are adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted staff and interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms had the hand washing signs with the steps on how to properly wash hands. LPA observed gloves and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan and found all required infection control measures.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed to need more consistent cleaning as the LPAs observed that the facility had clutter throughout in the kitchen, backyard, and living areas. The LPAs noted the facility was odoriferous upon entering the facility and in the facility backyard. Fixtures and furniture were present, and in good repair.This will be documented on a technical advisory note. LPAs observed the facility outdoor furniture for clients to sit outdoors. Laundry room was observed and was observed to be in good working condition. The sharp and dangerous objects were observed to be locked and inaccessible to clients.

Food Service: LPA observed facility kitchen had the ability to prepare food and possessed equipment in good working condition. The facility met the 2-day perishable and 7-day non-perishable food requirement.

Care & Supervision / Administration: Adequate staff are present for the supervision of clients. Emergency exiting plans, telephone numbers and personal rights were found posted in the facility. The listed administrator, possesses a current administrator's certificate.