Facility Evaluation Report

On April 9, 2024, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct the Annual 1-year required inspection. LPA Calandra was greeted by Diem Nguyen, Licensed Vocational Nurse(LVN) and explained the purpose of his visit. Administrator/Licensee, Aldo Montiel arrived later during the visit.

LPA Calandra toured the physical plant. This is a 1 story building with 4 bedrooms, two bathrooms, a kitchen, living room, dining room, garage and front and backyards. No accessible bodies of water or hazards were observed during the facility tour. In the backyard, LPA Calandra observed trash cans by the side of the house obstructing the emergency exit/passageway. Administrator/Licensee, Aldo Montiel relocated the trash cans in the presence of the LPA. In addition, LPA Calandra observed the gate to the front of the home had a padlock on it. Licensee/Administrator, Aldo Montiel had the lock removed in the presence of the LPA. The facility was maintained at a comfortable temperature of 72 degrees Fahrenheit. All fire alarm/carbon monoxide detectors were observed to be in working order. The fire extinguishers in the facility were observed to be fully charged and last checked on July 12, 2023. Night lights in the hallways were also observed to be in working condition. All bedrooms had the required furniture. Hot water temperature was measured at 113 degrees Fahrenheit well within the required range. The facility has the required 7 days of non-perishables and 2 days of perishables on hand. No food was expired. LPA Calandra observed that the refrigerator and freezer were missing temperature thermometers or devices that can determine the temperature of the appliance.

LPA Calandra reviewed 4 client records. All were observed to be complete except two client records (R1 and R2) which were missing Annual Needs and Services/Individual Program Plans(IPP).

LPA Calandra also reviewed 5 staff records. S1 and S2's records were observed to be missing the LIC 503-Health Screening Report. S1 and S2's records were also missing documentation of TB clearance.