Facility Evaluation Report

On 08/29/24 at 8:55am, Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to conduct a health and safety check. At the time of the visit was one (1) staff and (0) clients present, as they were at the day program. The facility census has changed as Client #1 (C1) was discharged from the facility on Monday 08/26/24.

During today's health and safety check LPA conducted an overall status of the facility. LPA verified that items listed on the facility's Technical Assistance Plan dated 7/15/24 was reviewed:

-making any necessary repairs to the deck -completed

- Home and Community Based Services (HCBS) final rule training -completed, the facility is HCBS compliant as of 08/14/24

- Personal and Incidental cash training (P&I) - completed on 07/19/24

- Perishable food item training -completed on 07/18/24

-Client rights training completed on 07/07/24

- A meeting with the treatment team in regards to the window and safety vinyl covers -completed on 07/17/24

The medications were observed to be locked and inaccessible to the clients in care. Medications were reviewed and present and are being given according to the physician's instructions per the Medication Administration Record (MAR). The new cycle of medications and MARs have been received and logged. The facility was observed to have a 2 day supply of perishable and a 7 day supply of nonperishable food items.

The facility was observed to have operable utilities (gas, water, electricity).

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