Facility Evaluation Report

On 05/24/23 at 08:54 AM, Licensing Program Analyst (LPA) Michelle Echeverria arrived at the facility unannounced to conduct a required Annual visit. LPA was greeted by Caregiver, Eileen Mendoza and granted entrance. LPA introduced self and stated the purpose of the visit. LPA observed that there is currently 2 residents in the facility and 1 in day program. LPA began the tour of the facility with Caregiver Mendoza.

The facility has 4 bedrooms, 4 bathrooms, a kitchen, dining area, living room, loft, office, laundry room, garage and backyard. LPA conducted a general overall inspection, which included, but was not limited to, the following:

Physical Plant: There are no obstructions to indoor and outdoor passageways. The facility is maintained at a 70 degrees Fahrenheit temperature. LPA inspected residents bedrooms; they are equipped with required furniture per regulations. An adequate supply of linens stored in the upstairs hallway cabinets. LPA inspected residents bathroom; bathroom was clean and appliances were operating appropriately. LPA tested the water temperature in the kitchen faucet which tested at 112.5 degrees Fahrenheit. The facility is equipped with operating (2) fire extinguishers, smoke alarms and carbon monoxide alarms. Last fire drill was conducted on 04/29/23 at 09:30 AM. LPA observed that the facility has been conducting a drill quarterly during the same shift . Deficiency issued. Posters such as; the personal rights, the CCL complaint poster, and disaster plans were posted in a common area. LPA observed that the Emergency Disaster plan has not been reviewed since 01/01/21. Technical violation issued. Cleaning supplies, toxins, sharps, and other dangerous items were kept locked. There was a designated locked storage space for residents/staff files, first aid kit and medication. The facility has a working telephone line. There are no pools, bodies of water, firearms or ammunition.