Facility Evaluation Report

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced Required Annual Inspection. LPA introduced herself and was granted entry into the facility by Corazon Luzano, Caregiver. The licensee, Grace Cosico, arrived a short time later, to whom LPA disclosed the purpose of the visit.

According to the facility’s license, the facility has a maximum capacity of four (4) clients, one of whom may be ambulatory. During today’s inspection, there were a total of four (4) clients in care.

LPA, accompanied by the licensee, toured the interior and exterior of the facility, and inspected each room. The facility was clean and in good repair. Pathways were free of obstruction and slip hazards. Client bedrooms contained the required furnishings. Equipment inspected was 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 74 degrees Fahrenheit. Hot water temperature at sink accessible to clients measured at 121.4 degrees Fahrenheit and was adjusted during the visit.

Refrigerator and freezer temperatures were operational. 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 a locked closet.

No pools or bodies of water were observed on the premises. Per the licensee, no firearms or ammunition are kept at the facility. Smoke alarms, carbon monoxide detectors, and facility telephone were in working order. Fire extinguisher was serviced within the last 12 months. First aid kit was complete and readily accessible. Required licensing postings were observed in a visible area of the facility.

LPA interviewed staff who were present during the visit. The interviews did not raise any significant licensing concerns. Facility clients who were present during the visit are non-verbal. LPA reviewed records/files. Staff