Facility Evaluation Report

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced Post-Licensing Inspection at the facility today. LPA arrived at 10:39AM and met with facility Designee Leopoldo (Leo) Vaca. Entrance interview conducted.

A tour of the physical plant was conducted to ensure client health and safety and the facility is in compliance with Title 22 regulations. The following was observed:

COMMON AREAS: These include the Family Room and Dining Room. All furniture appeared clean and in good condition. A fireplace was observed in the family room to be adequately screened at the time of the visit. Fire extinguishers were observed throughout the common areas.

TREATMENT/THERAPY, MEDICATION ROOM & OFFICE AREAS: There is a Group/Family Room, Family Therapy Room, Medication Room, and two (2) offices located on the ground floor. There is also a Learning Lab located on the second story as well as one (1) additional office. Medications are stored in a locked first floor Medication Room. The medication room has adequate locked storage, as well as a locked refrigerator. Medications were observed to be properly labeled and medication records observed were documented per regulation. The 1st Aid Kit is stored in the Medication Room. The Offices are kept inaccessible to clients unless properly supervised.

LAUNDRY: Locked Laundry Room is located on the ground floor. Laundry and cleaning supplies were observed to be inside a locked closet in the locked laundry room.

KITCHEN: Appliances and fixtures appeared clean and functional. There was sufficient nonperishable food to accommodate clients for (seven) 7 days and perishable food for two (2) days. Knives and other sharps are stored in a locked office, not in the kitchen. There were no visible immediate hazards observed.