Facility Evaluation Report

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with lead Caregiver Princess Payanga and Caregiver Rudita Yamuta. LPA spoke with Administrator Joseph Luevano on the phone, and he arrived at the facility at 3:00 p.m.

According to the facility’s license, the facility has a maximum capacity of five (5) clients, all of whom are non-ambulatory. During today’s inspection, all three (3) clients are out in the community. The three (3) clients were back from Program at 3:00 p.m.

LPA, accompanied by P Payanga and R Yumuta , toured the interior and exterior of the facility, and inspected each room. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. Extra linens 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. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 111.4 F, bathroom #1 sink was 118.2 F and bathroom #2 sink was 107.3 F.

There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.