Facility Evaluation Report

Licensing Program Analysts (LPAs) Dang Nguyen and Alyssa Ramirez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPAs were welcomed by, identified themselves to, and discussed the purpose of the visit with Administrator Tyrone “Aaron” Powell and Assistant Administrator Maria DeGuzman.

According to the facility’s license, the facility has a maximum capacity of six (6) clients, of which two (2) may be non-ambulatory; the non-ambulatory clients must be assigned to the bedroom with a “direct exit” sliding door. During today’s inspection, there were a total of six (6) clients in care, of which one (1) was non-ambulatory. This non-ambulatory client was also assigned to the correct/approved bedroom for their status. This facility does not feature a secured perimeter or delayed egress doors.

LPAs, accompanied by licensee’s staff, 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 and screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and client activities. The facility’s ambient internal temperature was 70 F. Refrigerator temperature was 40 F and freezer temperature was 0 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, fireplaces, or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas. Confidential records were stored in locked areas.