Facility Evaluation Report

Licensing Program Analyst (LPA), Tremayne Barra made an unannounced visit to the facility for the purpose of conducting a required annual inspection. The LPA was granted entry by facility staff and was later joined by Administrator Teresita Valdovino. The LPA informed Teresita of the purpose for the visit. The inspection included the following:

LPA toured the facility inside and outside. LPA observed the facility to be clean and in good repair. The facility is a one story unit that consists of three (3) resident bedrooms, one staff bedroom, and two (2) bathrooms. LPA observed a kitchen and dining area, a living room area, a garage, a laundry room, and a patio and yard with sufficient seating and space for activities. The home is maintained at a comfortable temperature for the clients. Lighting is sufficient for safety and comfort. Water temperature measured within regulation requirements. Laundry room possess locked cabinets for storing laundry soap and other chemicals. Emergency lighting is available. There is a telephone working at this location. There are no firearms at this home. Body of water was observed in the backyard with a 5 foot high white gate around. Gate was locked by a padlock.

LPA began review of client records. Four (4) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. LPA observed client records to be available and complete.