Facility Evaluation Report

Licensing Program Analyst (LPA) Jacqueline Shaw Ross made an unannounced visit to the facility to complete the annual inspection. LPA arrived at the facility and was greeted by Amanda Thomas LVN/Case Manager. Administrator Jazmin Espinoza joined shortly. LPA toured the inside and outside of the facility. The facility is approved to serve four (4) non-ambulatory developmental disabled adults, ages 18 through 59. There were three (3) clients present and four (4) staff present.

The facility is a four (4) bedroom two and a half (2 1/2 bathroom one story home. During the inspection, LPA observed the facility to be clean and in good repair with no pathway obstruction. The residents bedrooms, bathrooms and the facility's kitchen, as well as the common areas were inspected and found to be in compliance. All required postings were posted throughout the facility. The Administrator's certificate expires on 4/21/2024. The facility does not have firearms and/or ammunition on the grounds.

The facility is appropriately furnished. The water temperature was tested and measured at 109.5 degrees Fahrenheit. Indoor temperature measured at 73 degrees. The smoke alarms and carbon monoxide alarms were tested and found operable. LPA observed three fully charged fire extinguishers. The kitchen was observed to be fully stocked with a sufficient amount of food and supplies. Emergency food and water was stored in separate area in the pantry. The knives were stored in a locked drawer in the kitchen. The medications are stored in a locked cabinet in the hallway. P&I funds are kept locked in a cabinet in the hallway and are kept separate from facility funds. Chemicals and hazardous items are also stored in a locked area.