Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility for the purpose of an annual inspection. LPA was greeted by Lead Staff, Rosa Flores and explained the purpose of the visit. A tour of the facility was conducted inside and out. At the time of visit, there were five (5) clients home and four (4) staff present. Administrator Melissa Sumibcay arrived shortly.

The facility is a six (6) bedroom two (2) bathroom one story home. Three (3) bedrooms are shared, two (2) clients to a bedroom, and three (3) bedrooms are reserved for live-in staff. Staff and client interviews were conducted.

During the tour the following was observed: Clients bedrooms had the required furnishings and were observed to be in good condition. Bathrooms had required signage, hand rails, non-slip mats. Night-light was observed in the hallway. Fixtures and furniture for an operational facility are present and in good repair. All passageways were free of obstructions, charged fire extinguisher and the fire alarm system was operable, medications are kept centralized and locked, hazardous items are kept inaccessible to clients. Hot water was tested at 118 degrees Fahrenheit. Backyard area is free from obstructions.

Kitchen/Food Service: LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional.

Care & Supervision : Facility has sufficient care staff employed.