Facility Evaluation Report

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Required Annual Inspection. The LPA introduced himself and disclosed the purpose of the visit with Licensee Alejandra Basurto.

The facility was licensed for a capacity of six (6) ambulatory clients, with an age range of 18 to 59. At the time of the visit the facility had a census of five (5).

During today's visit, the LPA toured the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction. Resident bedrooms contained the required furnishings There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. There were no toxic chemicals/poisons accessible to clients. Medications were labeled, and stored in a locked area.

No pools, nor bodies of water were observed on the premises. Per staff, no firearms, nor ammunition were kept at the facility. Smoke detector, fire extinguisher(s), a first aid kit, and required licensing postings were observed in visible area of the facility.

The LPA interviewed staff and reviewed multiple staff and client records/files. The files which LPA reviewed contained required documents.

No deficiencies were observed or cited during today's annual inspection.

An exit interview was conducted with Licensee Alejandra Basurto, to whom a copy of this report, and the Licensee/Appeal Rights (LIC9058), were provided.