Facility Evaluation Report

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Shayla Saunders, LVN.

According to the facility’s license, the facility has a maximum capacity of four (4) non-ambulatory clients. During today’s inspection,all four (4) clients are in care, and per medical records, one (1) was ambulatory and three (3) were non-ambulatory. Facility is approved for locked perimeter and delayed egress.

LPA, accompanied by Administrator Elizabeth Enriquez, 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 and 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’s ambient internal temperature was 76 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 109.7 F, Bathroom #1 sink was 112.2 F, and Bathroom #2 sink was 110.5 F.

Refrigerator temperature was 39 F and freezer temperature was 0 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.