Facility Evaluation Report

Licensing Program Analyst (LPA), Martha Arroyo arrived unannounced to conduct a Required 1-Year Annual with focus on Infection Control. This will be the first Annual conducted at this facility following the pre-licensing visit on 12/22/2021. Upon arrival, LPA was scanned and greeted at the door by staff. LPA me with Residential Supervisor Charles Jimemez and the reason for the visit was explained. Entrance Interview.

At 1:57 pm, the LPA along with the Residential Supervisor began the physical plant tour of the common areas, kitchen area, client bedrooms, bathrooms, staff rooms, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

The LPA observed client bathrooms for hot water temperature; the first bathroom measured 113.4 degrees Fahrenheit at 2:00 pm; the second bathroom measured 109.4 degrees Fahrenheit at 2:03 pm; the third bathroom measured 113.9 degrees Fahrenheit at 2:06 pm; and the fourth bathroom measured at 111.4 degrees Fahrenheit at 2:10 pm. LPA toured the kitchen area and observed an adequate amount of perishable and non-perishable food. LPA observed medications and first aid kit in a locked closet located near the kitchen. Sharps and knives were observed in a locked cabinet. The laundry room is locked at all times. LPA observed detergents, cleaning supplies, and toxins in locked cabinets inside the laundry room. The living areas, activity room, and dining areas are clean and properly furnished. At 2:16 p.m., the fire alarms and carbon monoxide detectors were tested and were functioning properly. LPA observed the fire extinguishers to be fully charged and last serviced on 07/20/2022. The facility was maintained at 66 degrees Fahrenheit at the time of the visit. LPA observed outdoor grounds with clear passageways with no obstructions for emergency use. No bodies of water observed at the time of visit.