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 two staff and three clients present. Administrator Charito Ramirez arrived shortly after the inspection began. This home serves individuals with mental illness.

Beginning at 10:03 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. Cleaning supplies and items that could pose a danger were secured and in a locked cabinet. The LPA did not observe a sufficient amount of perishable and non-perishable food. The LPA did not observe any fresh fruit in the home and did not observe a two day supply of perishable vegetables. The LPA also only observed only two cans of vegetables and no non-perishable fruit in the home.

Common Areas: The living room was furnished appropriately. The carbon monoxide detector and smoke alarms in the common areas and bedrooms were tested and were found to be operational. The two fire extinguishers were fully charged and last serviced on 04/10/2023. 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 hot water was tested at 10:17 AM and measured at 143.6 degrees F. The backyard has covered seating for client use. There are no open bodies of water. Infection control practices were discussed and the facility has a sufficient supply of personal protective equipment.

Bedrooms: The LPA observed the four 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