Facility Evaluation Report

Casa de Maya, Spring Valley08/15/2023Licence 374604178

Capacity4
Census4
Date signed08/15/2023 01:00:12 PM
The inspector’s account

Licensing Program Analyst (LPA) Riza Alvarez conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was greeted and allowed entry into the facility by Direct Support Professional Jose Gonzalez, with whom LPA discussed the purpose of the visit. Administrator Jose Gonzalez Jr arrived shortly.

According to the facility’s license, the facility has a maximum capacity of four (4) ambulatory clients. During today’s inspection, there was a total of two (2) clients in care. One (1) client was at day program. One (1) client was in a skilled nursing facility since June 2023.

LPA, accompanied by Administrator Gonzalez, 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, 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 compliant at 84 F. Hot water temperature at taps accessible to clients were all compliant: Kitchen sink was 111.6 F, bathroom #1 sink was 105.3 F and bathroom #2 sink was 106 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.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction