Facility Evaluation Report

Licensing Program Analyst (LPA) Jose De La Cruz made an unannounced visit to conduct a Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Licensee Jofel Velazco . The facility's license shows a maximum capacity of six (6) residents, ages 18 through 59, Approved for 2 ambulatory clients and 4 non-ambulatory.

LPA arrived at 8:10 am at the facility and at 8:22 am LPA requested residents’ and staff files.

At 11:32 am, LPA and Licensee toured the facility, the interior and exterior and inspected the residents’ rooms, three bathrooms and the patio. On the back of one of the sheds, LPA observed some debree. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings and were personalized by the clients. Doors, windows, screens, toilets, and showers were in working order. Extra linen and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility contained at least 2 days of perishable food, and at least 7 days of non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. Toxic chemicals and poisons were locked and not accessible to clients. Medications were labeled, as required, and stored in locked areas. No bodies of water or fire places on the premises.