Facility Evaluation Report

On 2/24/2023, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Lead Staff, Loreto Rubin and Licensee, Rose Salgado. The facility currently provides care for 9 clients, 7 of which were present at the time of visit and 2 of which were attending day program.

LPA continued with a tour of the facility with Lead Staff & Licensee; facility was found to at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher located in the kitchen and was found to be last charged on 8/5/2022 at the time of the visit. Smoke detectors in client bedrooms and throughout were inspected and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations with balanced meals and alternative options for clients. LPA conducted a sample file review and found all staff to have current CPR and 1st Aid certification on file.

Toxins are stored in a locked cabinets located in garage as well as designated closets and staff area and all found to be secured. There was a supply of hygiene products and paper products available and kept in each client's respective bedrooms. Facility has restrooms equipped with paper towel and soap dispensers. All client bedrooms have lighting & appropriate furnishings. Medications and facility records are stored in designated cabinets located in the staff office and found to be secured. Clients were observed to be in their respective bedrooms resting, socializing with one another or on their phones.

LPA observed several items in need or repair or cleaning. In client bedroom 1 out of 1 damaged window blinds need repair or replacement. In addition, a water leak in the ceiling of client bathroom was observed. Facility is currently in the process of inspecting and repairing leaks due to recent weather. The ceiling leak was found to to drip directly in the the restroom sink and not damaging or effecting any other part of facility.