Facility Evaluation Report

On 11/15/2022 at 9:30 a.m. 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 staff, Fernando Perez, and explained the purpose of the visit.

At the time of the visit there was (1) staff and (1) client present. LPA observed the facility to be within the required ratio of 3:1. LPA conducted a tour of the facilities interior and exterior. LPA walked through back yard, garage, kitchen, living room, activity room, and clients bedrooms and bathrooms. The facility has (4) bedrooms and (2) bathrooms. The facility was observed to be clean and free of clutter. Client #1 (C1) was in their bedroom Client #2 (C2) was at their day program. (2) rooms are vacant, and (2) rooms are occupied.

LPA observed the facility's food supply which met the requirements; 2 day supply of perishable and a 7 day supply of non-perishable food items. 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 garage.

No health and safety concerned observed during the time of the visit.

An exit interview was conducted, and a copy of this report was provided to staff, Fernando Perez.