Facility Evaluation Report

Licensing Program Analyst (LPA) KaSandra Lopez conducted an unannounced Required - 1 Year inspection at the facility today. This Required - 1 Year inspection has a specific emphasis on infection control practices and procedures. The LPA met with caregiver Ruby Narvante and explained the reason for the inspection. The LPA spoke with Licensee Venie Gonzales at 10:16 AM. The Licensee arrived at the facility at 11:05 AM.

At 10:12 AM, the LPA, along with the caregiver 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. There are currently three clients and three staff present in the facility. All indoor and outdoor passages were free of obstruction.

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. Knives and items that could pose a danger were secured in a locked cabinet. Medications were in a locked cabinet in the dining area.

Common Areas: The living room and family room areas were furnished appropriately. The fire extinguisher was fully charged and last serviced on 07/29/2021. Infection control signs are posted through out the facility. At 10:29 AM the carbon monoxide detector and smoke alarms were tested and operational. The facility has two common restroom for client use. Restrooms were observed to be clean and sanitary with hand soap and paper towels. At 10:32 AM the hot water temperature in the restroom near bedroom #5 measured at 107.6 degrees F. The backyard has covered seating for client use.

Bedrooms: The LPA observed the five resident bedrooms. They were furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.