Facility Evaluation Report

On 07/26/2024 at 11:30 AM, Licensing Program Analysts (LPAs) L. Alexander and L. Holmes arrived unannounced to conduct 1-Year Annual Required inspection. LPAs met with Business Office Manager, Sara Winschell and LVN Supervisor Jame Wong and explained the purpose of the visit. The facility’s fire clearance was approved for capacity of 64 (sixty-four) all ambulatory. Campus Administrator, Nicole Paiste, arrived shortly.

LPAs toured the facility including but not limited to bedrooms, bathrooms, kitchen, common area and backyard. The facility consists of 32 total bedrooms which 32 bedrooms are occupied by the clients. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 71 degree Fahrenheit. LPAs observed lighting in all rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared clients’ bathroom was measured at 119 degree Fahrenheit. All toilets, hand washing and bathing are safe, sanitary and in operating condition. The supply of extra hygiene supplies were available for clients. There is a minimum of one week supply of nonperishables and 2-day perishables food supply.

Smoke detectors and carbon monoxide were in operating condition during visit. Fire extinguisher was last serviced on 05/31/2024. Emergency Disaster Drill was last posted on 07/25/2024. First aid kit was observed to be complete. Fire drill was last conducted on 07/17/2024.