Facility Evaluation Report

On 1/31/24 at 10:08Am Licensing Program Analyst (LPA) Arvin Villanueva conducted an unannounced annual required visit. LPA initially met with a staff on duty and explained the purpose of today’s visit. The facility administrator Orlando Carpio was made aware of this visit and arrived shortly after. The facility is currently licensed to serve four (4) developmentally and intellectually disabled adults. Present during this visit, there were three (3) clients in care with three (3) staff on duty.

At 10:20am, LPA and one of the staff on duty inspected the facility’s physical plant including but not limited to the kitchen, dining room, client bedrooms, client bathrooms, laundry room, living area, common TV area, and outside of the facility to ensure compliance with Title 22 regulations. The facility is a one-story structure located in a residential neighborhood. There were no bodies of water on the premises. Outside of the facility was observed to be clean and clear of obstructions. Additionally, LPA observed outdoor furniture for clients’ use and covered area for outdoor activities. A damaged and detached sliding door screen for the sliding door located at the dining room going to the covered porch was observed. Per interview with staff, the screen was damaged by one of the client in care a day prior to this visit. Technical advisory was provided to repair or replace the sliding door screen. Entrance, exits and hallways were observed to be clear of obstructions. LPA observed 4 client bedrooms, 2 bathrooms for client use. One of the bathroom is located in bedroom #1 in the facility sketch. LPA observed beds and bedding supplies were in good condition, adequate lighting was provided, and sufficient storage for the client’s personal belongings. Bed linens, comforters, and bath towels were adequately stocked during the visit. Bathrooms were observed to be operational and adequately supplied.

LPA observed the facility to be furnished at the time of the visit. Storage areas for personal hygiene, cleaning supplies, toxins, and sharps objects were locked and not accessible to clients in care. The kitchen was inspected, and sufficient 2-day perishable and 7-day non-perishable food was maintained adequately. There are 2 additional refrigerators/freezers in the garage. Technical advisory was provided for licensee to obtain thermostats for each of the refrigerators/freezers in the garage to ensure temperatures are maintained. Room temperature was maintained in the facility at 72 degrees F. {Con't to LIC809-C}