Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct the facility's Required 1-Year inspection. LPA met with Administrator (ADM) Marcus Gonzalez. LPA stated the purpose of the visit. No clients were present during the inspection. ADM stated 10 clients were at day program, and 1 client was out with staff.

LPA toured the interior and exterior of the facility with staff to include the kitchen, client rooms, dining room, bathrooms, back and front of the facility. All exit and passageways were free and clear of obstruction.

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. LPA observed refrigerator temperature at 40 degrees F and Freezer at -0 degrees F. LPA observed the medication storage area, knives storage area, and cleaning product storage area as locked and inaccessible to clients in care.

The facility was equipped with smoke and carbon monoxide detectors. All smoke detectors functioned properly when tested by ADM. Fire extinguishers were last serviced on 3/3/2025. LPA reviewed the facility first aid kit, and it was observed to be complete. The facility emergency drill log was reviewed. The facility's last drill was on 4/7/2025. Drills are being conducted monthly.

LPA toured 7 client rooms. All 7 client rooms have a bed, functioning lights, dresser/table, bedding and space for personal belongings. LPA toured 3 client bathrooms. All 3 bathrooms had hand soap, paper towels, functioning lights, and covered trash bins. LPA measured water temperature with a range of 105.4 degrees F to 108.3 F.