Facility Evaluation Report

On 9/30/22 at 2:40 PM, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct Infection Control Inspection. Upon arrival LPA got greeted by Direct Support Professional (DSP), Santiago Orellana and explained the purpose of the visit. LPA spoke with Administrator Brandie Kelber that could not be present during the inspection. Administrator gave verbal consent for DSP to assist LPA with the tour as sign the report.

LPA toured facility with DSP including but not limited to bedrooms, bathroom, kitchen, common area and backyard. Indoor and outdoor passageways are kept free of obstruction. A comfortable room temperature is maintained at 73 degrees F. Hot water temperature measured at 115 degrees F. There is a minimum of one week nonperishable foods supply and 2-day perishable foods. Hygiene supplies are readily available for residents. Smoke detectors are interconnected with sprinklers. Carbon monoxide was in working condition. . Fire extinguisher was last serviced on 7/7/22.

Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 10/07/2022:

LIC 308 Designation of Administrative Responsibility

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.