Facility Evaluation Report

At approximately 10:00 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannou nced to conduct a required 1-year annual inspection and was greeted by Anna Morales, Administrator. Licensee of C.A.S.A. LUNA, INC. , Selene Cruz was contacted and informed Administrator to proceed with inspection and Licensee arrived shortly after. Facility is an Adult Residential Facility with Ambulatory Developmentally Disabled Clients in care. LPA was informed that there are 4 clients in care; 3 clients were away at Day Program, and 1 client was present during visit.

At approximately 10:15 AM, LPA initiated a tour of the facility with Administrator and observed the follo wing: Facility is a one-story home, was a comfortable temperature, and passageways were free from obstructions. Water temperature in clients' bathrooms measured within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens and paper products 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 food and one week of non-perishable foods. Facility also has a sufficient emergency water supply. Medications were centrally stored and locked. There is a covered deck and outdoor space for activities in the backyard. LPA observed a supply of games for clients and holiday and party supplies which LPA was informed are used to host combined holiday parties with clients from other facilities within the organization.

Facility's fire extinguisher was observed charged and last serviced November 2023. Facility is hardwired with internal fire doors in place and smoke and carbon monoxide detectors which were all tested and observed operational during inspection. Facility conducts regular quarterly emergency and disaster drills with the most recent drill conducted April 2024. LPA observed an infection control plan and emergency disaster plan updated in 2023. LPA observed a supply of PPE, emergency supplies, and flashlights, as well as a first aid kit. Administrator states the facility does not have a backup generator.