Facility Evaluation Report

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Ivonne Samora. The facility's license shows a maximum capacity of six (6) adult clients, ages 18 through 59, all of whom have to be ambulatory.

LPA arrived at 10:00 am to the facility and requested staff and facility records. At 12:10 PM, LPA and Licensee toured the interior and exterior of the facility and inspected each resident room, garage, and a staff 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.

The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. LPA and licensee reviewed the medications cabinet. Medications were labeled, as required, and stored in locked a area. The facility has a jacuzzi in the patio, which per Licensee is not used, LPA checked that the devise is not connected to the water service. There is a fire place in the living room with a gated device.