Facility Evaluation Report

Licensing Program Analyst (LPA), Jacqueline Shaw Ross made an unannounced visit to the facility to conduct an annual licensing inspection. LPA identified herself and was granted entry into the facility by Jayme Covarrubias, House Manager. The facility is licensed to serves four (4) developmentally disabled adults. Two (2) of whom may be non-ambulatory. There is an incontinence plan on file. At the time of visit, there were three (3) staff and three (3) clients present.

A tour of the facility was conducted inside and out. The facility is a one story five (5) bedroom, three (3) bathroom home. Each client has their own bedroom and closet. One bedroom is reserved for live-in staff, the other bedroom is currently vacant. The facility temperature was 70 degrees during time of visit. The facility has one or more functioning carbon monoxide/smoke detector. Disinfectants, cleaning solutions, and poisons are locked and were observed inaccessible to consumers . Hot water temperature measured at over 120 degrees F for the bathrooms used by the clients. LPA recommended hot water temperature be lowered. House Manager adjusted water temperature to 120 and will continue to monitor it. All toilets, hand washing, and bathing facilities were observed in sanitary condition with available grab bars and non-skid mats or strips. LPA observed linens clean and in good repair. Lamps or lights are provided in all rooms. All of the clients rooms had the required furnishings. The facility is in good repair and has the required furnishings throughout. Required postings such as Emergency exiting plans, telephone numbers and Ombudsman information and other signage are posted throughout the facility.

LPA observed the entire kitchen, food is stored properly and dishes are clean and in good condition. There is a sufficient supply of perishable and non-perishable foods. Area was observed to be clean and functional. All food was properly stored and made available to clients. Licensee has secured each client's personal property and cash resources and was observed accurate. All outdoor/indoor passageways were observed free from obstruction.