Facility Evaluation Report

On 02/10/ 25, Licensing Program Analyst (LPA), Javina George arrived at the facility unannounced to conduct a 1 year required visit. LPA and met with Administrator Isabel Sanchez, and explained the purpose of the visit. The facility is licensed to provide care and supervision for clients age range 18 through 59, and was granted a fire clearance for 4 ambulatory. LPA verified contact information and observed for the facility phone number that needs to be updated. LPA also obtained the current gate code. At the time of the visit there was (1) staff and (1) client present.

LPA conducted a tour of the interior and exterior areas of the facility. The facility was observed to be clean, clutter and the passageways to be free of obstruction. The client bedrooms had adequate lighting, chest of drawers, chair and night stands. The facility is equipped with operable smoke and carbon monoxide detectors. The facility is in possession of (3) fire extinguishers. The cleaning supplies and sharp items were kept locked and inaccessible to the clients in care. There was a designated storage space for the residents and staff files, and it was locked and inaccessible to residents in care currently at the time of this visit.

LPA conducted a review of client and staff files. All staff present were observed to have criminal record clearance and to be associated to the facility. Staff were observed to have valid CPR and first aid training. The administrator Isabel Sanchez was observed to have renewed their certification with a new certificate number being issued. The clients cash out their personal and incidental funds, therefore no (P&I) was reviewed during today's visit.

The medications, sharps and chemicals were observed to be locked and inaccessible to clients in care. The medications were observed to be given to the Physician's instructions based on a review of the bubble packs and medication authorization record (MAR). The facility was observed to have an adequate food supply which supply which consists of a 2 day supply of perishable and a 7 day supply of nonperishable food items. There are no known guns or ammunition or bodies of water on the premises.

Based on today's inspection there were deficiencies issued. An exit interview was conducted and a copy of this report was provided to Isabel Sanchez, Administrator.