Facility Evaluation Report

Licensing Program Analysts (LPAs) Marcella Tarin and Kenneth Madrigal conducted an unannounced annual inspection and met with Staff Karina Oviedo. Administrator Kathleen Alcala was unavailable for the inspection. LPAs toured the interior and exterior of the facility to include 3 buildings (labeled as 98 Wheelock, 100 & 102 Wheelock), kitchen, living room, bedrooms, community room, staff office, break room, outside patio areas and front yard. All exit passageways were free and clear of obstruction.

LPAs 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. LPAs observed a stand alone freezer, with client food (in the 102 Wheelock building) that did not close properly due to ice build up (picture taken). LPAs advised facility to clean the ice build up on the freezer door to ensure the door closed properly. Staff cleaned the freezer and LPAs observed that the freezer door did not close properly, with a gap measuring approximately 1/2" observed (picture taken). LPAs recorded freezer temperature -0.9 degrees F. LPAs advised facility to replace or repair freezer to ensure food safety for clients.

LPAs observed holes in the kitchen linoleum flooring, a damaged window screen (Client Room #7) and broken blinds (Client room #9), cobwebs, dusty and dirty window screens throughout the entire facility. LPAs observed damaged walls and a clogged sink in an upstairs client bathroom in 100 Wheelock (pictures taken). LPAs also observed two bathrooms without non-skid mats client bathrooms located in 100 & 102 Wheelock. LPAs advised the staff that the facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

LPAs observed the medication storage area, knives storage area, and cleaning product storage areas were locked and inaccessible to clients in care. Room temperature was at 73 degrees F, and hot water temperature was measured with a range from 111 to 118.7 degrees F.