Facility Evaluation Report

Licensing Program Analysts (LPAs) Ryan Fulton and Carmen Lopez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by and discussed the purpose of the visit with Melissa Martinez. t he facility's license shows a maximum capacity of six (6) clients, of which all are ambulatory. During today’s inspection there were Five (5) clients in care.

LPAs and Melissa Martinez toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all of which are safely stored. Cooking/dining equipment and utensils were present. Toxic chemicals/poisons were locked and inaccessible accessible to clients. Medications were labeled, as required, and stored in locked areas. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 107.2 F, bathroom #1 sink was 110.1 F and bathroom #2 sink was 113.2.F

All bodies of water were observed to be in good repair and surrounds the entire pool. The fence is designed and installed so that it is not removeable. The fence is at least five feet high and constructed not to obscure the view from the pool. The pool gate swing away from the pool. Per Director Melissa fencing will remain in place and properly functioning whenever there are licensed clients in care. Ladder will remain inaccessible whenever there are clients in care. Per licensee, no firearms or ammunition are kept at the facility. Carbon monoxide/Smoke detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.