Facility Evaluation Report

On 04/18/2022 at 01:15 PM, Licensing Program Analyst (LPA) L. Holmes arrived for a third attempt, unannounced, to conduct an Annual Inspection, LPA was greeted by the Wanda Dyer, Administrator (ADM) and explained the purpose of the visit.

LPA and ADM toured the facility including, but not limited to common areas, bathroom, bedroom, kitchen and outside. Bathroom is equipped with grab bars, soap and paper towels. There was a sufficient supply of 2-day perishables and 7-day supply of non-perishable foods. Hot water temperature in the shared Clients bathroom was measured at 133.3 degrees Fahrenheit (F); however, it is under repair with PGE per notice since 04/10/23 and staff assists Client with bathroom usage. The facility temperature was 74 degrees (F). Fire extinguisher observed full and last inspected 12/08/22. Smoke and Carbon Monoxide detectors observed operational. Since the rainy season is over, LPA advised ADM to remove worn tarp from the roof of the garage and send photo. ADM to post new complaint poster.

The following forms are to be updated and submitted to CCLD on or before 04/25/2023.

-LIC308 Designation of Administrative Responsibility (Reviewed)

Exit interview conducted and a copy of this report provided.