Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct a Required 1-year Infection Control Inspection of the facility. LPA was welcomed by Licensee Jennifer Fitts. There are 3 clients enrolled in the program.

At approximately 9:15 AM, LPA toured the building and grounds which was found to be clean and in good repair. LPA observed all walkways and exits to be unobstructed. The amount of fresh and non-perishable foods was within regulation. Toxins are secure and not accessible to clients. Medication is centrally stored and secure in locked kitchen cabinet. There is a sufficient supply of hygiene products and linens on hand for client use. Hot water temperature measured 150.1 degrees F. within Title 22 acceptable regulation of 105 to 120 degrees F in client’s bathrooms. Fire extinguishers are fully charged and current. Carbon Monoxide detector was present. Disaster Drills are conducted twice yearly, with the last drill conducted 11/2021. Facility does not handle client monies.

Facility has submitted a mitigation program plan that has been approved, on 7/15/2021. Facility has PPE supply stored in office in kitchen cabinet. Licensee’s will be emailing booster vaccination cards this Friday 3/5/2022.

LPA reviewed Licensing Information System (LIS) with Administrator who stated that is correct and updated at this time; no need to change any of the information. LPA advised facility to contact Local County Public Health and DSS/CCL Community Care Licensing immediately if symptoms or COVID-19 + in the facility.