Facility Evaluation Report

Licensing Program Analyst (LPA) Simi Rai conducted an unannounced Required 1 Year visit and met with caregiver Erdie Del Rosario and explained the purpose of today's visit. LPA observed 2 clients in the facility and 2 staff persons. Per Ferdie, 2 clients are in the hospital and another is currently at day program. Later during the visit the administrator arrived and met with LPA.

This is a single level facility licensed for 5 clients between the ages of 18 - 59 all of which may be non-ambulatory. LPA toured the inside and outside of the facility. LPA toured the facility with Ferdie. During the tour LPA observed the outside areas of the facility and observed that the exits are cleared of obstruction. Both fence doors on the sides of the facility are not locked and accessible in case of emergencies. LPA observed 3 sheds in the backyard, they are used for storage. One storage space looks like a liveable ADU unit but per observations made, it is used for storage purposes. LPA observed that the facility has emergency food supplies and fresh food supplies in place. Canned goods are observed in the kitchen and the garage. Sharps and medications are locked in secured areas. Cleaning supplies and toxics are observed to be locked in the garage behind a fenced area and in another closet adjacent to the washing machine and dryer. LPA observed all client rooms as clean and in good condition. No odors or missing furniture is observed in all client rooms. Each room contains the recommended furnishings as outlined in Title 22. The hot water temperature is measured in the client bathroom measuring at 114F.