Facility Evaluation Report

Licensing Program Analyst (LPA) Shawna Doucette and Sarah Hurt arrived at the facility unannounced to conduct the Required Annual Inspection. LPA met with Program Director Adelina Rico. LPA disclosed the purpose of the inspection and was granted entry into the facility by Program Director Adelina Rico.

A tour of the facility was conducted with Program Director Adelina Rico. The facility was set at 68 F temperature and free of passageway obstructions inside and outside. The water temperature was measured at 127.0 F.

Kitchen was toured. Cleaning supplies were in a locked storage room. Smoke detectors and carbon monoxide detectors were checked and operating. Facility is wired with sprinkler system. Fire extinguishers were charged and had service dates of 06/15/24. Fire drill was last completed on 1/16/24 and earthquake 3/12/24..

Client and staff records were reviewed. Current first aid and CPR were on file for staff. MARS log for C1 does not match amount of medication left to the amount administered. Medication started on 6/12/24 and 31 pills were logged. Since that date according to MARS log 36 pills were administered. There are still 11 pills left in bottle.

An exit interview was conducted with the Program Director and a copy of this report with was provided with plans of correction and appeal rights. .