Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Arroyo arrived unannounced to conduct a one year required annual inspection today at 9:45 a.m. The last annual conducted at this facility was on 10/18/2022. When the LPA arrived, there were six staff and four clients present. The LPA was greeted at the door by the Lead Care Coordinator, Anna Sanamyan and at this time, the reason for the visit was explained. The Residential Supervisor, Charles Jimenez and Compliance Specialist, Regan Mew arrived during the inspection. Entrance interview conducted.

The LPA along with the lead care coordinator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA began the inspection in the kitchen/food service area at 10:05 a.m. At 10:07 a.m., the hot water temperature was measured in the kitchen at 116.2 degrees Fahrenheit. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly marked. Knives and sharps are locked in the staff room. Cleaning supplies and disinfectants are stored under the kitchen sink inaccessible to clients.

COMMON AREAS (TREATMENT/THERAPY/OFFICE AREAS): At the time of the visit, treatment, therapy, and office furniture was observed to be in good condition. The LPA observed clients in common areas reading at the time of the inspection. Activities are both designed for both as individuals and as a group. The facility maintained a comfortable temperature. There are several fire extinguishers throughout the facility; they all were fully charged and were last serviced 07/08/2023. The LPA observed required postings throughout the common space. There is a separate laundry room, which is kept inaccessible to clients.