Facility Evaluation Report

On 08/04/23, LPA Renee Campbell arrived at approximately 8:45 am to conduct an annual inspection. LPA Campbell was greeted by Direct Service Provider (DSP) Kelsey Gharabawy and stated the purpose of the visit. The Licensee/Administrator Karen Puente arrived 15 minutes later. The facility is a Residential Adult Facility and is licensed for a capacity of 4 clients and currently has a census of 3 clients 2 of whom were in day programs.

LPA Campbell entered the residence through the garage and into the kitchen. Floors were clean and unobstructed. The room temperature was 74 degrees Fahrenheit and the water temperature was 113 degrees Fahrenheit. LPA Campbell entered the dining room to set up a work space. In the dining room, a cork board contained the license, emergency disaster plan and Personal Rights for Adult Community Care Facilities. Daily Goals for each client were pinned up on a separate cork board. Licensee and LPA toured the facility. The living room had a screened fire place. When asked, licensee stated the fireplace was never used.

There were three bedrooms for four clients. One bed was a double bed and the rest were twin beds. Rooms contained a closet, night table, lamps as well as a chest of drawers. Client bedrooms also contained artwork and collections they had selected themselves. There were two client bathrooms. There is also one staff bathroom in the staff lounge that is used for staff who may work overnight. There are no live in staff. Bathrooms had grab bars and bath mats. Licensee presented their Infection Control Plan and Plan of Operations. The fire extinguisher had a receipt for date of purchase that could not be deciphered and was deemed out of compliance. During today's visit, The licensee purchased a new extinguisher and agreed to take this and all future extinguisher's to the fire department for inspection.

A Record of Fire Drills were reviewed. The facility completed fire drills monthly with all residents present and the appropriate number of staff.