Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required 1 Year inspection at the facility today. When the LPA arrived there was one staff and three clients present. The LPA spoke with Administrator Charito Ramirez on the telephone at approximately 10:11 AM and informed her of the reason for today's inspection. The Administrator stated she was unable to come to the facility for the inspection but she would send staff member Zenaida Vitug in her absence. Ms. Vitug arrived at the facility at 10:32 AM.

This Required - 1 Year inspection has a specific emphasis on infection control practices and procedures. Beginning at 10:17 AM, the LPA conducted a physical plant tour inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Kitchen The kitchen and food storage areas were observed. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Cleaning supplies and items that could pose a danger were secured and in a locked cabinet.

Common Areas: The living room was furnished appropriately. The carbon monoxide detector and smoke alarms in the common areas and bedrooms were tested at 11:10 AM and were found to be operational. The two fire extinguishers were fully charged and last serviced on 05/19/21. Ms. Vitug was reminded the fire extinguishers need their annual service. Infection control signs are posted through out the facility. The facility has one common restrooms for client use. The restroom was observed to be clean and sanitary with hand soap and paper towels. The backyard has covered seating for client use.

Bedrooms: The LPA observed the client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Medications and records are locked and stored in the staff bedroom. Report continued on LIC 809-C