Facility Evaluation Report

At approximately 8:40AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to conduct a required 1-year annual inspection and was greeted by House Manager, Susana Quisquino. Administrator, Perla V. Garcia was not present. House Manager contacted Administrator. LPA spoke with Administrator and was informed that she would not be able to be present for today's inspection due to a previously scheduled doctors appointment and CPR training. Administrator gave permission for House Manager to conduct the tour and sign for any paperwork. Facility is an Adult Residential Facility with Developmentally Disabled Clients in care. LPA was informed that all four clients were away at their day programs.

At approximately 8:50AM, LPA initiated a tour of the facility and observed the following: Facility was a comfortable temperature and passageways were free from obstructions. Water temperature in clients' bathrooms measured 116.4 and 117.6 degrees F, which is within allowable range of 105 to 120 degrees F per regulation. LPA observed a supply of clean linens available to clients. Clients' bedrooms were inspected and observed to have appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. There is outdoor space for activities, and the facility plans weekly outings.

The facility is hardwired. Fire extinguisher was last serviced January 2024. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Facility conducts regular disaster drills bi-annually, and the most recent drill was conducted January 2024. LPA advised House Manager that drills shall be conducted quarterly moving forward. LPA observed the facility's infection control plan, first aid kit, and emergency disaster plan. LPA advised House Manager to update the facility emergency disaster plan to reflect an updated offsite location in the event of an evacuation. LPA observed changes to the floor plan and staff/resident room designations and was informed of renovations to the facility over the last few years. LPA issued a technical violation and informed House Manager that she needs to submit a new LIC200 with an updated facility sketch and processing fees to CCL to begin the change of capacity from 6 to 4 clients.