Facility Evaluation Report

On 12/28/23 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct an annual inspection as well as health and safety check. LPA with with Licensee/Administrator Manuel Vazquez. Below is an account of LPAs observations of the conducted inspection.

At the time of the visit there was two (2) clients and one (1) staff present. The facility was observed to be within the licensed capacity (4). The facility is a single story home with (4) resident bedrooms, (2) bathrooms, garage, living room, and backyard. The exterior was observed to be clutter free. LPA observed for there to be ample activities both inside and outside to provide entertainment for the clients in care. The facility previously used video surveillance, as LPA observed for there to be 3 cameras in the common areas of the facility. Per the Licensee Mr. Vazquez the cameras are not being utilized as there was a request for outside parties to access them and posed a breach in confidentiality. The cameras are still hanging. LPA discussed if things were to change the following was needed: an addendum to the facility's plan of operation is required, updated facility sketch and acknowledgement that the clients and their responsible parties were informed.

Interior: the resident bedrooms were observed to have the required furniture mattresses, night stands, storage space, and sufficient lighting.

The bathroom appliances were observed to be operable, however LPA observed a leak underneath the bathroom sink. LPA observed a bowl underneath the pipe, that was used to catch the water. The bowl was full and was overflowing with water was leaking out of the cabinet and onto the bathroom floor. There is a second bathroom available for the clients to use and the hot water measured to be within regulatory limits of 105 degrees Fahrenheit. The Licensee contacted the facility's maintenance staff to come and repair the leaking pipe. Proof of the repairs will be submitted, as soon as they are completed.