Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen made an unannounced visit to conduct a Required Annual Inspection. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Caregiver Victoria Azucena. LPA also met with Licensee Lydia Abille and House Manager Pia Abille, who arrived later during the visit.

According to the facility’s license, the facility has a maximum capacity of six (6) clients, of whom all must be ambulatory. Staff interviews and LPA observation showed there were a total of four (4) clients in care on today’s date. Review of each client’s respective LIC602 Physician’s Report showed that three (3) of the clients were indeed ambulatory, but the physician for Client #1 (C1) determined that C1 was non-ambulatory status. [See LIC811 Confidential Names List for a description of person identifiers used in this report.] The facility’s operating license and prior-approved fire clearance did not authorize Licensee to care for non-ambulatory clients. The facility’s license does not include endorsements for secured perimeter or delayed egress doors, and neither were present during today’s visit.

LPA, accompanied by Licensee’s staff, toured the interior and exterior of the facility and inspected each room. Doors, windows, toilets, and shower were working. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and extra linens were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was complaint at 73 F. Hot water temperature at taps accessible to clients were also complaint: Kitchen Sink was 113.4 F and Bathroom Sink was 108 F. Appliances to preserve perishable food were compliant in temperature: Kitchen Refrigerator was 39 F and Kitchen Freezer was 0 F. Garage Freezer was 0 F. There was at least two (2) days of perishable food, and at least seven (7) days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present.