Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced annual inspection and met with Administrator (ADM) Victor Cortes. LPA toured the interior and exterior with ADM to include kitchen, indoor activity area, restrooms, storage area in kitchen, and staff office. LPA observed 18 clients engaged in morning activities in the indoor activity area with 6 staff. All 6 staff obtained background fingerprint clearance.

At 10:05 AM LPA toured the kitchen area and observed all chemicals and sharps to be locked in the kitchen storage room inaccessible to clients. LPA measured kitchen water temperature at 117.6 F. LPA observed the kitchen dishwasher to have metal parts exposed. LPA observed kitchen windows and screens to have visible dirt and particles and cobwebs. LPA advised ADM to have the dishwasher repaired due to metal parts being exposed and to clean the kitchen windows and screens.

Fire extinguishers were last serviced on 09/23/2024. Facility smoke detectors functioned properly when tested. LPA observed the facility first aid kit and it was observed to be complete. The facility fire/earthquake drill log was reviewed and drills are not being conducted. ADM states no drills have been conducted for 2024. LPA advised ADM that facility drills shall be conducted at least every six months.

At 10:15 AM LPA toured 2 client bathrooms. 2 out of 2 bathrooms were observed with cobwebs around the windows and on the ceiling, and visible dirt and particles on the indoor window screens/covers. In bathroom #1, LPA observed damaged unpainted areas on the wall, a patched white area and a damaged handrail (pictures taken). In bathroom #2, 2 glasses panes were observed missing from a window, allowing rain into the bathroom. ADM states these areas were damaged last month and would be repairing the noted areas by 12/6/2024.