Facility Evaluation Report

On 5/23/25 at 12:45 Licensing Program Analyst (LPA) Noel Wolf Petersen and Licensing Program Manager (LPM) Liza King arrived unannounced to conduct an annual inspection. They were met by Staff Estaban Herrera and Administrator Jessica Gutierrez, and explained the purpose of the visit. G.L.O. M. 5 is a 16 bed facility for ambulatory adults with mental health diagnosis.

The Physical plant was toured including the kitchen, common areas, resident bedrooms, resident bathrooms, hallways, evacuation routes, storage, and exterior. The Physical plant was sanitary, the traffic areas are unobscured and well lit. sharps and toxics and medications are locked away. The fire extinguishers were last inspected 5/1/25, The water temperature was measured at 111.1*F. The air temperature was comfortable. The smoke alarm and CO detectors were functional.

The medication was observed for 3 residents at random. It was current and up-to-date with the MAR,

3 client files were reviewed, they included required signed admission agreements, assessment documentation, personal rights notifications, and emergency contact forms. 3 of 3 residents were able to leave facility unassisted and care for own personal needs.

3 staff files were reviewed, they included required fingerprinting/backround check and ongoing training documents. 1 of 3 staff files reviewed were not associated to the facility, however they were fingerprint cleared and associated to a sister facility, and the administrator addressed it before the LPA left. Staff trainings were reviewed, and found to have no concerns.