Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit. LPA met with Staff, "Gene" Bonifacio Carlos, who was informed of the purpose of the visit. At the time of the visit there was (2) staff and (2) clients present.

The facility is a one story home with (3) bedrooms and (2) bathrooms with attached garage, and a fenced pool. No firearms are being kept at the facility. The facility is an adult residential facility licensed for (4) ambulatory clients ages 18 to 59 years old. A citation was issued for both clients who are over the age of 60 with no exception on file for retention of the clients.

Infection Control: The LPA observed hand hygiene, personal hygiene supplies, PPE equipment, and cleaning supplies to do regular cleaning of the facility. A citation was issued for the facility not having an infection control plan for review during the visit.

Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. A citation was issued for the outdoor area which does not have furniture for clients. The sharp and dangerous objects were observed to be locked and inaccessible to clients in a pantry closet. The smoke detector and carbon monoxide was operational, and the hot water temperature 105F.

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.