Facility Evaluation Report

On 10/21/2022, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Licensee, Minerva San Felipe. The facility currently provides care for 3 clients all of which were present the time of visit.

LPA arrived at the facility and had temperature checked. LPA continued with a tour of the facility with Licensee; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was located at the front door and to be last charged on 7/28/2022 at the time of the visit. 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. Additional storage room located in facility hallway contained additional non perishable food and snacks for clients. LPA conducted a sample file review for 3 of 3 staff and found all to have current CPR and 1st Aid certification on file.

Toxins are stored in facility laundry room and maintenance closets all found to be secured. There was a supply of hygiene products and paper products available and kept in client individual bedrooms. Facility provides all hygiene product to clients when requested. All client bedrooms have lighting & appropriate furnishings. Extra linens were stored in storage closet and available to clients. Medications and facility records are kept stored in the kitchen kept inaccessible to clients. Facility has snacks readily available in client common area and is replenished multiples times throughout the day. LPA measured water at faucets accessible to clients which measured at 116.2 degrees F which is within Title 22 regulations between 105 and 120 degrees F.