Facility Evaluation Report

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced 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 Direct Support Professional (DSP) Yolanda Dizon. The facility's license shows a maximum capacity of four (4) adults, of whom all may be non-ambulatory. The facility had a total of two (2) clients in care. LPA spoke to Licensee Martin Lopez via telephone.

LPA with DSP Dizon toured the interior and exterior of the facility, and inspected each room. Pathways were free of obstruction and slip hazards. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. LPA observed Client #1 (C1) to not have the required bedroom furniture. Record review revealed there was not written approval from the Department for this furniture removal. The facility contained at least 2 days of perishable food, and at least 7 days non-perishable food, all safely stored. Cooking, dining equipment, and utensils were present. No toxic chemicals or poisons were accessible to clients. Medications were labeled, as required, and stored in locked areas. No pools or bodies of water exist on the premises. Per DSP Dizon, no firearms or ammunition are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all in working order. Fire extinguisher was serviced within the last 12 months. First aid kits were complete and readily accessible. Required licensing postings were observed in visible areas of the facility.