Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Alicia Olivarria. LPA toured the facility inside and out with the ADM to include dining room, kitchen, client bedrooms, bathrooms, and exterior.

LPA toured the kitchen area and observed a perishable food supply of at least two days and a non-perishable food supply of at least seven days. Refrigerator temperature maintained at 40 degrees F and freezer maintained at 0 degrees F. LPA measured hot water temperature with a range of 112.8 to 114.2 degrees F. LPA observed medications were locked and inaccessible to clients.

LPAs toured client bedrooms. 4 out of 4 client bedrooms had functioning lights, storage space for personal belongings, clean bedding, and a dresser/table.

During tour of the exterior, LPA observed loose wooden panels on the backyard fence. LPA also observed a palm tree that had grown into the fence (on the side of house near trash storage), pushing wooden panels out towards the neighbors backyard. LPA advised ADM to have the two areas of the fence repaired. ADM had maintenance assess the area during visit and the fence will be repaired by 12/11/2024.

LPA reviewed 2 staff records. 2 out of 2 staff records were observed as complete, to include fingerprint clearance, annual training, health screening, TB results, personnel record, and employee rights.

LPA reviewed 2 client records. 2 out of 2 client records were observed as complete, to include a physician's report, TB results, updated appraisal/needs and services plan, identification and emergency contact information, personal rights, and consent forms.