Facility Evaluation Report

Licensing program Analyst (LPA) Renee Campbell conducted an unannounced annual required visit at the above Facility on 12/05/2024. LPA Campbell met with Team Lead, Jessica Villasenor and toured the facility inside and outside. Residents of the facility were in program, leaving the facility empty.

The facility is licensed to serve developmentally disabled adults ages 18 to 59 and approved for delayed egress. The facility has 1 common area, Staff office, a staff bathroom and 5 resident rooms with a bathroom in each. There is a meeting area, dining area, computer area and a laundry area. There are client bathrooms with grab bars, paper towels and soap. There are cameras on the outside of the building.

The Facility has a kitchen area with a sink, refrigerator and food pantry. Locked sharps drawers were observed in the kitchen area. LPA Campbell observed enough perishables to last 2 days and enough non-perishables to last 7 days. Dining plates and utensils were observed in the kitchen cabinets. The refrigerator temperature was 35 degrees Fahrenheit and the freezer temperature was set at 0 degrees Fahrenheit. LPA Campbell observed the first aid kit in the staff room as complete with scissors, tweezers and thermometer . The required items could not be immediately. LPA Campbell suggests that staff be assigned weekly organization checks for the for all facilities so that all items are medical tools can be located regardless of where staff is working.

Of the 30 staff working at the facility, 4 files were reviewed. All 4 staff were found to be fingerprint cleared and associated to the facility and their files complete. There were 4 client files that were reviewed as well. Exit interview held with the Team Lead and a copy of report was given at the conclusion of the visit.