Facility Evaluation Report

On 9/19/24 Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced one (1) year required visit. LPA was granted entry by driver, Rogerella Loza, who was informed of the purpose of visit. At the time of the inspection, there were no clients present as they were at day program and Administrator came to assist. All staff were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA Flores observed the following during today's visit:

LPA Flores conducted a tour of the facility and observed the physical plant was a single-story structure containing four (4) resident bedrooms and two (2) bathrooms. The facility has a formal dining rooms, kitchen, living room, staff office, garage, and a gated backyard. Indoor and outdoor passageways were free of obstruction. There were no bodies of water located on the property. The facility has more than a two (2) day supply of perishable food and seven (7) day supply of non-perishable foods. Dishes and utensils were in sufficient supply and in good repair. Garage had an additional refrigerator and freezer with sufficient amount of food. Knives and other sharp items are located in a locked cabinet near the kitchen. Resident bedrooms had the required bedding, furniture, and lighting. The smoke and carbon monoxide detectors were tested and were observed to be operable. Centrally stored medication was observed in a locked cabinet in the staff office. Two (2) fully charged fire extinguishers were observed in the facility. The facility was observed to be in a clean condition; free of dirt, insects, rodents, and pests. According to Administrator, Desean, there are no firearms or ammunition on the premises.

Staff files reviewed included but not limited to having a personnel record, health screening, criminal record clearance, and valid CPI Certification. Resident files included but are not limited to signed admission agreements, placement, personal rights, CDER, weight charts, and updated physician reports. Facility sketch, LTCO, CCL complaint poster, and emergency disaster plan is posted on a wall near the hallway.

During today's visit, LPA did not observe any immediate violations or concerns. An exit interview was conducted, and a copy of this report was reviewed and provided to the Administrator, Desean Walker.