Facility Evaluation Report

At approximately 9:30 AM, Licensing Program Analyst (LPA) Stefanie Mutialu conducted an unannounced Annual Required inspection to this facility and was greeted by Licensee Fabricio Santos. Administrator/Licensee Maria Villalobos-Santos arrived shortly after. At approximately 9:41AM, LPA and Administrator/Licensees toured the building and grounds which was found to be clean but not in good repair. LPA observed hallway bathroom two toilet seat showing signs of wear and tear. The toilet seat is partially brown (wood) and partially white (overlay).The parts of the toilet seat do not have white protective covering. LPA observed laundry room blinds are not working and individual blinds are bent and crooked. LPA observed backyard has debris that includes non hazardous wood. Client bedroom 3 has unfinished ceiling square hole, covering is brown, and part of ceiling covering is missing next to patch. that is temporarily repaired, in need of permanent patch repairs including seal and paint to ensure clients safety and health . LPA advised Administrator/Licensee facility must be in good repair at all times. Administrator/Licensee agreed to replace toilet seat, blinds, repair C1 bedroom ceiling, and remove debris from backyard. Administrator/Licensee to provide LPA with proof of repair date of 06/16/2024. LPA observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. LPA advised Administrator/Licensee that all food must be stored properly and defrosted previously frozen food must have defrost date to ensure food is safe and not expired. Toxins are secure and not accessible to clients. LPA advised Administrator/Licensee sharps drawer must be locked at times. Medication is centrally stored and secure. There is a sufficient supply of hygiene products and linens on hand for client use. Four out four clients rooms were inspected and found to be within regulation. Advised administrator and licensee night lights shall be maintained in hallways and non-private bathrooms. Five out of five water faucets were inspected and found to be within regulation. Water temperature measured within regulation between 108.3 and 110.4 degrees F at faucets accessible to clients.