Facility Evaluation Report

Licensing Program Analyst (LPA) Michelle Echeverria conducted an announced visit to complete the Pre-licensing inspection. LPA met with Licensee, Manuel Mendoza. The fire clearance was approved on 5/04/2023 for three (3) nonambulatory clients and one (1) ambulatory client.

The facility has five (5) bedrooms, three (3) bathrooms, entry room, kitchen, dining room, living room, laundry room, attached garage and back yard. LPA toured the interior and exterior areas of the facility. The following were inspected:

Client Bedrooms : All bedrooms have the required bedding and furniture, such as, clean mattresses/linen, nightstands, dressers, chairs, and lighting.

Client Bathrooms : The bathroom appliances were operating in safe and sanitary condition.

Kitchen and Dining Areas : Utensils and dishware are in good repair and ready for client use. Kitchen appliances and counter top were free of debris and in good repair. The water temperature was measured at 118 degrees F. The refrigerator was measured at 38 degrees F and the freezer was measured at 0 degrees F. There was a locked and secured cabinet where medication will be stored, locked closet where sharps and chemicals will be stored and a locked filing cabinet where clients/staff files will be stored. There was non-perishable food inside the pantry and perishable food inside the refrigerator/freezer.

Common Sitting Areas : There is adequate seating in the common areas. The facility has a supply of activities for the clients.

Laundry Room/ Garage : The laundry room is near the entry to the garage. The chemicals, laundry soap and toiletries were safely locked in this room.