Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by Caregiver Theresa Sy. Administrator/Licensee Wa Lai Bernarte arrived later, and LPA disclosed the purpose of the visit.

According to the facility’s license, it is approved to serve six (6) developmentally disabled ambulatory clients. During this inspection, six (6) clients were in care, four (4) of whom were out in the community. All clients were ambulatory. The facility does not have a secured perimeter or delayed egress doors.

LPA Garcia-Centeno toured the interior and exterior of the facility with Caregiver Sy. Client rooms were inspected and found to contain the required furnishings. The facility was clean and in good repair. Pathways were free of obstructions and slip hazards. Doors, toilets, and showers were operational. Extra linens and hygiene supplies were available. The facility had sufficient space and equipment for dining, laundry, visitation, meetings, and client activities. Internal temperature, refrigerator, and freezer temperatures were within the regulatory range.

The shower facility was equipped with a grab bar; however, it did not meet Title 22 requirements for one of the clients in care . The bar was observed to be unstable and not sufficient to ensure client safety.