Facility Evaluation Report

At 10:00 a.m., on this day, March 21, 2024, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA met with Program Director (PD) Ebonie Lemi, and informed the reason for visit.

Facility has LIC9283 Infection Control Plan, copy of which was submitted and received by LPA on March 6, 2023.

LPA toured the facility inside out with PD. The facility is a two level building. LPA inspected the common areas, quiet room, library, media, computer and activity rooms, maintenance storage cabinet, parking area.

Clients are provided snacks and they bring their own lunch. LPA observed sufficient supplies of snacks. Activity materials were observed sufficient for clients' use.

Facility has working carbon monoxide and smoke detector. Fire extinguisher checked, observed fully charge, and tag showed serviced April 20, 2023 . Facility conducts disaster drills monthly, and records showed last conducted March 8, 2024. Water temperature in one of the toilets was tested and measured at 108 degrees Fahrenheit. Room temperature was at 69 degrees Fahrenheit.

LPA reviewed 5 staff and 5 clients files, and interviewed 2 staff and 3 clients. Facility does not handle clients' P&I and does not administer medications.