Facility Evaluation Report

Licensing Program Analyst (LPA) Cassie Yang arrived unannounced to conduct a required annual inspection. LPA met with caregiver, Sandra Martinez, and explained the purpose of the visit. Caregiver contacted Administrator, Thelma Adona, who arrived shortly afterwards.

During today's inspection, LPA and Administrator conducted a tour of the interior and exterior of the facility to ensure the health and safety of clients in care. LPA observed the presence of four clients and three direct support professionals. LPA observed sharps, toxins and medications to be locked and secured. LPA observe month of January 2024 facility calendar to be displayed in the common area. LPA observed the facility to be at a comfortable temperature of 72* LPA observed the facility to have ample supply of personal protective equipment, linens, and personal care. LPA observed facility to have 2+ day of perishable and 7+ days of nonperishable food present in the facility. LPA observed facility to be in compliance with fire clearance and licensure.

LPA and Administrator discussed the backlog of Administrator Certificate unit. LPA observed Administrator Certificate to be expired but LPA observed Administrator listed on pending renewal list.

File review was conducted for C1, C2, S1 and S2.

LPA and Administrator completed the full care inspection tool together and found facility to be in compliance.

Exit interview conducted and a copy of the report was provided.