Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian conducted a visit to the facility for a required annual inspection. Facility is an Adult Residential Facility licensed for four (4) ambulatory clients. LPA met with licensee Audra Rodriguez . At the time of the visit, two(2) clients were present at the facility.

LPA toured the facility inside and outside. Outdoor and indoor passageways were kept free of obstruction. The facility has charged fire extinguishers, operating fire alarm systems, and carbon monoxide detectors. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. LPA toured the client bedrooms. The client bedrooms had the required furniture and functional lighting. The facility had a supply of additional linen and extra hygiene items for the clients in their bedrooms. The facility had a complete first aid kit available and the last disaster drill was conducted on 5/1/2023. Cleaning supplies were stored in the storage and laundry areas. Centrally stored medications were kept in a safe and locked cabinet. LPA toured the client bathrooms. The hot water temperature in the client bathroom measured 109 degrees Fahrenheit. LPA observed emergency supplies in the garage. The outside of the facility had a shaded area with a table and chairs. The facility has a swimming pool fenced and locked by a gate, inaccessible to clients in care.

LPA reviewed staff and client files. Staff files had the required documentation including a health screening report and first aid/CPR certification. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. LPA reviewed medications. Medications were dispensed appropriately according to the physician's orders. Licensee has secured each consumer’s personal property and cash resources. All required signs and postings were visible in a common area, including the LIC 610D, and visitation policy. Sufficient staff are employed and present in the facility to meet the needs of the consumers in care.

No deficiencies were issued during this visit. An exit interview was conducted where this report, LIC 809 was discussed and provided to Licensee Audra Rodriguez, at the end of the visit.