Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Palacios conducted an unannounced one (1) year required visit. LPA was granted entry by Administrator Cotadela Balatbat , who was informed of the purpose of visit. At the time of the visit there were three (3) staff, Administrator and six (6) clients present. All staff present were observed to have obtained proper fingerprint clearance and were associated to the facility. LPA observed the following during today's visit:

LPA conducted a tour of the facility with Administrator, Cotadela. The physical plant is a single story structure that contained four (4) client bedrooms, one (1) staff bedroom, and three (3) bathrooms. The facility has a (1) dining room, kitchen, living room, garage, Laundry room and a gated backyard. Indoor and outdoor passageways were free of obstruction. Facility has a locked gated swimming pool with safety devices. 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. Knives and sharp items were observed in a locked cabinet in the kitchen. Client 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 kitchen. One (1) fully charged fire extinguisher was observed to be mounted in the kitchen wall. The living room was observed to have board games and other activities. The facility was observed to be in a clean condition; free of dirt, insects, rodents, and pests.

Staff files reviewed include but not limited to have personnel records, health screenings, criminal record clearance, required training, and valid first aid/CPR certification. Client files included but are not limited to signed admission agreements, pre-placement, personal rights, house rules, needs and service plans, and updated physician reports. Facility sketch, CCL complaint poster are posted on a wall in the living room.

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.