Facility Evaluation Report

Licensing Program Analyst (LPA) Tung Truong arrived at this facility unannounced on 08/19/2022 at 2:40 PM to conduct an annual inspection visit. LPA met with Administrator Amor Hernandez and explained the purpose of the visit.

Administrator holds current certification #6019050735 and expires on 9/9/2022. The facility is licensed to serve 4 ambulatory developmentally disabled adults. Age range 18 through 59 years. There are currently 4 clients who reside at this facility.

LPA inspected the physical plant including but not limited to the kitchen, dining area, client bedrooms, bathrooms, laundry room, common area, and outside courtyards of the facility to ensure compliance with Title 22 regulations.

LPA observed sufficient furniture and lighting throughout the facility. LPA observed bedrooms to be properly furnished with appropriate bedding and lighting. The hot water temperature was observed to be 105.5 degrees Fahrenheit, which is within the required regulation of 105 to 120 degrees Fahrenheit. Facility thermostat observed at 73 degrees Fahrenheit. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed knives and toxins to be locked away and inaccessible to clients. Smoke and carbon detectors were in good repair. Fire extinguisher and first aid kit was up to date. LPA checked medication storage and found medication to be locked away and inaccessible to clients. LPA also conducted the infection control domain tool.