Facility Evaluation Report

Licensing Program Analyst (LPA) Manuel Monter, LPA Simi Rai and LPM Manzano conducted an unannounced annual inspection visit today, and met with Administrator Melissa Ramos.

During visit, ADM stated the facility has 66 clients total and 25 staff total. LPA toured the facility inside and out. Observed the activity area where the clients do morning zumba exercise. While observing the activity area wherein there were at least 64 clients with only few staff observed on the floor. The facility staff and resident ratio of 1:3 did not occur including a client observed in a quiet room unsupervised. After clients' morning activity, LPAs also observed staff taking clients to the van while other resident were being left unsupervised, and some staff were also observed not facing majority of the clients or there were no line of sight supervision. During visit, ADM was informed by staff lead that when LPAs and LPM facility, the staff were preoccupied in the staff room eating.

LPA observed cubicles where the clients can store their belongings; there are two restrooms. LPA observed toiletries and covers on the trash can. Measured hot water temperatures in both the men's and women's restrooms, between 118 to 119 degrees F.

The facility's Last disaster drill was conducted on 07/05/2023. There were 3 fire extinguishers observed in the facility and were last serviced in August 2021. ADM stated when the fire department came they state the fire extinguishers get serviced every 3 years.

Observed a dual fire alarm system with carbon monoxide detectors which in all areas. ADM stated that the properly landlord does the maintenance every six months. The facility has 14 transportation vans and are all being service at least every 3 months and as need.