Facility Evaluation Report

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced annual required visit. LPA was granted entry and met with staff member, Lucila Miranda, who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (0) clients present. The facility does not have any clients admitted, so some items were discussed in regards to care of future clients.

The facility is a one-story home with six (6) bedrooms and three (3) bathrooms, with an attached garage. The facility does not have any bodies of water, firearms, or ammunition on the property. The clients who will be served will be adults 18 - 65 years of age. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted an interview. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility.

Physical Plant: LPA observed the client's bedrooms, bathrooms, and staff office. 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. LPA observed outdoor furniture and shaded area for clients. Laundry equipment was observed to be in good working condition. The sharp and dangerous objects were locked and inaccessible to clients. The smoke detector and carbon monoxide was operational, and the hot water temperature 118F.

Food Service: 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.