Facility Evaluation Report

Licensing Program Analysts (LPAs) Becky Mann and Edith Conchas made an unannounced visit to the facility. The purpose of the visit was to conduct a required annual inspection. LPAs met with Administrator Milagros Samson. Licensed capacity of six (6), current census is four (4). The facility is a five (5) bedroom, two (2) bathroom home, with a kitchen/dining area, living room, and attached garage. The facility is an Adult Residential Facility (ARF). LPAs was accompanied by Administrator Milagros to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPAs inspected client bedrooms; they are equipped with required furniture such as: beds, mattresses, night stands, storage space, and sufficient lighting. Bathrooms are clean and appliances are operating appropriately. LPAs observed sufficient furniture and lighting throughout the facility. LPAs tested the hot water temperatures in the bathrooms it was between 110 and 114 degrees Fahrenheit. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inside kitchen cabinet inaccessible to clients. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care.

Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly.

Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department.