Facility Evaluation Report

Licensing program Analyst (LPA) Renee Campbell conducted an unannounced annual required visit at the above Facility. 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 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 dishwasher and food pantry. LPA Campbell observed enough perishables to last two days and enough non-perishables to last 7 days. The refrigerator temperature was 37 degrees Fahrenheit and the freezer temperature was 0 degrees Fahrenheit. The hot water in the kitchen was measured at 106 degrees Fahrenheit. The hot water in the resident’s bathroom was measured at 105.8 degrees Fahrenheit. The medications will be locked in the Staff office. There is a delayed egress on the front door, side gate from the backyard and exterior gate in the common area of the facility.

There are designated cabinets for client’s belongings outside of each room. Locked file cabinets are located in the staff office for files. A facility sketch was observed on the wall. Fire extinguishers were last inspected on 12/06/2024 and smoke detectors are current and in compliance with fire safety. Of the 30 staff who work in the facility, 4 files were viewed and found to be complete. All staff had been fingerprint cleared and were associated to the facility. Of the 4 clients for the facility, all 4 of their files were reviewed and found to be complete.

Exit interview held with the Administrator and a copy of report given at the conclusion of the visit.