Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an annual Required-1 year inspection and met with Debra Marrama, Administrator. This facility is licensed for up to 6 ambulatory clients and provides short term crisis residential treatment program. There is currently five(5) clients in care.

LPA toured facility and grounds with Program Manager, Jose Mata and observed the home be clean, organized and at a comfortable temperature with all exits free from obstruction. Clients rooms were furnished per regulation. Water temperature in bathrooms used by residents measured at 113 degrees F which are within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinet in garage containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked. Emergency food and water supplies are stored in the garage. Facility has smoke detectors located throughout the facility as well as a Carbon Monoxide detector that were operational during inspection. Most recent disaster drill was conducted 4/3/2023. Fire Extinguishers were found to be last charged and serviced on July 22,2023.

Two staff files and five resident files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate for Administrator, Debra Marrama #6058928735 expired 4/18/2023 but is on the Department's Pending List. Medications and medication records were reviewed.