Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Abdoulaye Zerbo conducted an unannounced annual required visit. LPA was granted entry and met with staff and were later joined by designated staff in charge Vanessa Lucena. The Licensee Jaime Apostol was available over the phone and were informed of the purpose of the visit. At the time of the visit there was (23) staff and (3) clients present.

The facility is a one story home with (4) bedrooms and (2) bathrooms for residents and (2) bedrooms for staff. No pools or firearms are being kept at the facility. The facility is an adult residential facility. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements.

Physical Plant: LPA observed the client bedrooms. Physical plant, floors, windows, and doors were observed and fixtures and furniture were in good were present. The outdoor area was observed to be free of hazards. The sharp and dangerous objects were observed to be locked and inaccessible to clients. The smoke detector and carbon monoxide was operational. The hot water temperature was initially read at 138.5F, which was then adjusted and read at the end of the visit at 125.3F. The facility was cited and a plan of correction was made to have the hot water within the required range.

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.