Facility Evaluation Report

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA identified herself and was granted entry by Administrator, Linda Aragona, to whom she disclosed the purpose of the visit.

According to the facility’s license, the facility has a maximum capacity of two (2) ambulatory clients. During today’s inspection, there were a total of two (2) clients in care, of which both were ambulatory. Both clients in care were out in the community and not available for interviews. The facility does not feature a secured perimeter or delayed egress doors.

LPA Garcia-Centeno was accompanied by the licensee while touring the interior and exterior of the facility. In addition, the clients’ shared room was inspected. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. The clients’ bedroom contained the required furnishings. The doors, toilet, and shower 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 internal temperature and refrigerator and freezer temperatures were within the regulatory range.

During today’s visit, LPA observed, via measurement with a thermometer, that the hot water temperature from the kitchen faucet accessible to clients was within regulatory range.

There were at least 2 days of perishable food, and at least 7 days of 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.