Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola made an unannounced visit to the facility in order to conduct a case management. LPA met with Licensee, Sarai Marcelin who was informed of the purpose of the visit.

LPA conducted a health and safety check of the residents in care. During the time of the the participants were getting picked up from their day program. LPA conducted interviews, gathered documents and conducted a walk through of the facility. LPA found unlocked chemicals in the broom closet in the kitchen, and found unlabeled medication in a kitchen drawer that was unlocked. LPA had staff lock and secure items immediately. Deficiency will be cited and plan of correction was documented with licensee.

At this time the department will evaluate information gathered on incident report. Additional visits or phone calls may be necessary. Licensee was informed of the documents that would need to be sent to the LPA to their email and documented on technical note.

An exit interview was conducted with Licensee, Sarai Marcelin where this report along with LIC809-D, and appeal rights were reviewed and provided to them.