Facility Evaluation Report

Licensing Program Analyst (LPA) Javina George conducted a health and safety check. At the time of the visit was one (1) staff and (0) resident's present as the residents were at the day program.

During today's health and safety check LPA observed for the facility food supply to be sufficient as there was a 2 day supply of perishable and a 7 day supply of nonperishable food items. The facility was observed to have working utilities (gas, water, electricity). The medications are locked and inaccessible to the residents in care. The facility has a supply of hygiene products such as soap and shampoo for the residents to use.

The facility was granted the health and safety waiver on 4/18/24, and Client #1 (C1) official move from home #2 to this facility is official today 5/1/24.

The following was discussed during today's visit with the Administrator:

-Associating S1 to the facility by 5pm today 4/18/24- complete

-Cleaning the window sills to remove the dust and cobwebs that were observed- complete

-Having a copy of the program design available at the facility to review- complete

-Follow up regarding medications that are needed for the residents at the day program- complete

-Enroll in an upcoming Home and Community Based Services (HCBS) Final Rule training-no updates were provided. Licensee will follow up with placing agency.

Based on today's health and safety concerns were observed.

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