Facility Evaluation Report

On 2/28/24, Licensing Program Analyst (LPA) Michelle Echeverria arrived unannounced to conduct the required annual visit to the facility. LPA met with DSP, Jennifer Vargas and Abraham Robledo and introduced self and stated purpose of the visit. LPA was informed that there are 2 clients at home and 2 in program.

The facility has 4 bedrooms, 2 bathrooms, kitchen, living room, dining area, office/activity room, backyard, attached garage and 2 sheds. LPA completed a walk through of facility, review of records and P&I audit.

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 75 degrees fahrenheit. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, chairs and sufficient lighting. LPA inspected client bathrooms; bathrooms were clean and appliances were found functional. Water temperatures tested at 112.7 degrees fahrenheit. The facility is equipped with operational smoke detectors, carbon monoxide alarms, charged fire extinguisher and first aid kit. Posters such as; the personal rights, visitation rules and CCL complaint poster were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked and inaccessible to clients. There was a designated storage space for client/staff files. Medications was observed locked and inaccessible to clients. There is no swimming pool, bodies of water, firearms or ammunition in the facility. LPA observed the previous covered indoor patio converted into an activity/office room with a bedroom on the side occupied by an ambulatory client. Per the STD 850 approved on 11/4/21, bedroom 1 is for 2 nonambulatory, bedroom 2 is for 1 nonambulatory and bedroom 3 is for 1 nonambulatory. Fire inspection was not approved on the new bedroom added to the facility. Deficiency with civil penalty issued.

Food Service : Non-perishable and perishable food supply is not sufficient. DSP states that today is grocery shopping day. LPA observed Administrator, Natalie Williams order groceries and arrived during the inspection. Technical violation issued. Dishes, cups, and utensils were also stored properly.