Facility Evaluation Report

Licensing Program Analyst (LPA) Victoria Chitgian arrived unannounced to the facility for a required annual inspection. Facility is an Adult Residential Facility licensed for two (2) ambulatory and two (2) non-ambulatory clients. LPA met with Administrator Antonio Sanchez . At the time of the visit, one client was present at the facility.

LPA toured the facility inside and outside. Outdoor and indoor passageways were kept free of obstruction. The facility has charged fire extinguishers, operating fire alarm systems, and carbon monoxide detectors. LPA toured the kitchen. Food was stored in a safe and healthful manner. The facility had a two (2) day supply of perishable food items and seven (7) day supply of nonperishable food items. LPA toured the client bedrooms. The client bedrooms had the required furniture and functional lighting. The facility had a supply of additional linen and extra hygiene items for the clients. The facility had a complete first aid kit available and the last disaster drill was conducted on 6/1/2023. Cleaning supplies, medications, and sharps were kept locked and inaccessible to the clients. Cleaning supplies were stored in the storage and laundry areas. Centrally stored medications were kept in a safe and locked cabinet. LPA toured the client bathrooms. The hot water temperature in the client bathroom was measured 106 degrees Fahrenheit. LPA observed the toilet in bathroom #1 was not functioning, and in need of repair. Administrator stated having made contact with a few contractors to begin the repair. Administrator provided the LPA with messages for the repair inquiry. Technical Assistance issued. The outside of the facility had a shaded area with a table and chairs. The facility does not have a pool or bodies of water.

LPA reviewed staff and client files. LPA observed the Administrator did not have the required HIV and TB training. Deficiency issued. Client files had the required documentation including an admission's agreement, updated physician's reports, and appraisal/needs & services plans. LPA reviewed medications. Medications were dispensed appropriately according to the physician's orders. Licensee has secured each consumer’s personal property and resources. Sufficient staff are employed and present in the facility to meet the needs of the consumers in care. LPA observed the emergency supplies in the garage.