Facility Evaluation Report

Licensing Program Analyst (LPA) Esther Cortez arrived at the facility unannounced to conduct a required annual visit and entered the facility at 9:30 a.m. The entrance to the facility is on the side of the home. Upon arrival, LPA Cortez was greeted by staff and called the administrator to inform them of the visit. Administrator Floro Cortez arrived shortly thereafter.

The LPA 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 kitchen and food storage areas were observed. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of two (2) day perishable and seven (7) day non-perishable food stored in the kitchen. Cleaning supplies and items that could pose a danger were secured in locked cabinets. The facility has a supply of emergency food and water.

BEDROOMS: There are three (3) client bedrooms; one shared and two single-occupancy, and one (1) staff room. Administrator is planning to convert all four (4) bedrooms into single-occupancy client rooms. LPA observed the client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There was a linen closet in the hallway with extra towels and linens.

RESTROOM: The facility has two restrooms. Both restrooms were clean and sanitary with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature in the common hallway restroom measured at 125 F at 10:35 a.m. and the hot water temperature in the restroom in front of the staff room measured at 130 F at 10:48 a.m. Upon observation, the Administrator adjusted the water temperature. Report Continued on LIC 809C...