Facility Evaluation Report

Licensing Program Analyst (LPA) Alyssa Ramirez 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 staff Marisol VegaZavala and Brenda Tafolla.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, of whom three (3) may be non-ambulatory. During today’s inspection, there were a total of three (3) clients in care, and per medical records, two (2) were non-ambulatory and one (1) was ambulatory. This facility does not feature a secured perimeter or delayed egress doors.

LPA,, 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, screens, toilets, sinks 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. The facility’s ambient internal temperature was 72 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 105 F, Bathroom #1 was 108 F and bathroom #2 was 107F.

Refrigerator and freezer temperatures were in compliance. 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 or open-faced heaters accessible to clients. Medications were labeled, as required, and stored in locked areas.