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 on an outing in the community per the Team Lead.

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 two days and enough non-perishables to last 7 days. Dining plates and utensils were observed in the kitchen cabinets. The refrigerator temperature was 37 degrees Fahrenheit and the freezer temperature was 0 degrees Fahrenheit. The hot water in the kitchen was measured at 108 degrees Fahrenheit. The hot water in the resident’s bathroom was measured at 106 degrees Fahrenheit. The medications will be locked in the Staff office. There is a delayed egress on the front door and side gate from the backyard and exterior gate in the common area of the facility. Cleaning products were observed locked away in a closet.

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.