Facility Evaluation Report

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 5/5/2023 at 12:00 p.m. LPA was granted entry and met with Staff, Jeannie Espiritu, who was informed of the purpose of the visit. At the time of the visit there was (3) staff and (6) client present.

The facility is a one story home with (4) bedrooms and (2) bathrooms. No pools or firearms are being kept at the facility. The clients served are adults between the ages of 18-59. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and client interviews. LPA observed the following:

Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements.

Physical Plant: LPA observed the client bedrooms. Physical plant was observed to be in disrepair,. LPA observed dilapidated slate on the house exterior, broke dishwasher, damaged client dresser, visibility dirty floors, door frames and walls in the facility. Deficiency was cited for this and plan of correction was created, The outdoor area was observed to be free of hazards. Laundry equipment was observed to be operational. The sharp and dangerous objects were observed to be locked and inaccessible to clients in medication cabinet. The smoke detector and carbon monoxide was operational, and the hot water temperature 108F.

Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment. LPA observed the facility did not meet the required 2-day supply of perishable and 7-day supply of non-perishable foods. This deficiency was documented along with plan of correction.