Facility Evaluation Report

Licensing Program Analyst (LPA), Cuadra arrived unannounced to conduct an Annual Required Inspection and met with Administrator Lora Navarro. Three clients were present during the visit engaged in activities.

LPA/Administrator initiated a tour of the facility at 11:30am and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Client rooms were furnished per regulation. Extra hygiene products and linens were available. Cabinet containing cleaning supplies was locked. Facility has at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked. Fire extinguisher was last inspected September, 2023. Smoke detectors located throughout the facility were tested and operational. Carbon monoxide detector was tested and operational. Most recent fire/disaster drill was conducted November 7, 2023. Required postings were observed. Water temperature in client bathrooms read at 129. and 123.6 which are not within regulation of 105 & 120 degrees F. Contact information was reviewed.

File review was initiated at 12:00pm. Three staff files and four client files were reviewed. Staff have required First Aid/CPR certificates and required annual training hours. Administrator Certificate for Lora Navarro, 6017813735, expires on 7/25/2024. Medications and medication records were reviewed. Cash resources records were reviewed. Administrator provided updates of the following documents: Designation of Administrative Responsibility (LIC308), Personnel Report (LIC500) and Emergency Disaster Plan (LIC610E).

No deficiencies cited during today's visit. Exit interview conducted with Administrator Lora Navarro. A copy of this report was provided.