Facility Evaluation Report

On 9/23/2024, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Administrator, Josie Dizon who was informed of the purpose of the visit. The facility has a fire clearance for six (6) ambulatory clients and serves adults ages 18 through 59. During the visit, there was one (1) staff and one (1) client present, and LPA was informed four (4) clients were attending day program.

LPA toured the facility and reviewed records. During the tour, LPA observed the facility is made up of a one (1) story home with three (3) client bedrooms, (2) bathrooms, a staff room, living room, kitchen, dining room and attached garage. Facility staff tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed a charged fire extinguisher mounted near the kitchen. Indoor and outdoor pathways were free of obstructions. Outdoor shaded seating is available for the clients in care. No bodies of water were observed on the premises. LPA observed a hallway cabinet filled with different colored clean towels, linens, and comforters available for the clients in care. LPA toured the kitchen and observed the facility has a 2-day supply of perishable foods and more than a 7-day supply of non-perishable foods, which are stored in a safe and healthful manner. Medications are secured in a locked hallway cabinet. LPA reviewed the physical medications for two (2) clients along with their Medication Administration Record for September 2024 and did not discover any discrepancies. Staff present has a criminal record clearance. LPA reviewed random two (2) client files, which had all Departmental required records. LPA reviewed th e Record Of Client's/Resident's Safeguarded Cash Resources (LIC 405) for two (2) clients while Administrator Dizon counted their physical monies and LPA did not discover any discrepancies.

During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Dizon.