Facility Evaluation Report

On 1/12/2022 Licensing Program Analyst (LPA) Janira Arreola made an unannounced visit at the facility for the purpose of conducting a health and safety check. LPA Arreola met with licensee Manuel Vasquez, and explained the purpose of the visit.

At the time of the visit there was (1) staff and (1) client present. LPA conducted a tour of the facilities interior and exterior. The facility has (4) bedrooms and (2) bathrooms. The facility was observed to be clean and free of clutter. Client #1 (C1) was in the facility yard playing with a ball, and it was reported by licensee that Client #2 (C2) has been discharged from the facility. C2 is no longer a client of the facility effective date 1/12/2023. LPA obtained an updated resident roster for the facility.

LPA observed the facility's food supply which met the requirements; 7 day supply of non-perishable food items. 2 day perishable food items were observed to be low. Licensee stated they would be doing grocery shopping today. LPA observed a sufficient amount of PPE supplies at the facility. LPA observed clients medications and observed at least a 30 day supply. LPA observed a sufficient amount of paper supplies (paper towels and toilet paper), in the facility storage room.

No health and safety issues were observed during the time of the visit.

An exit interview was conducted, and a copy of this report was provided to Licensee, Manuel Vasquez.