Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced One (1) Year Required Infection Control visit to this facility. LPA was greeted by administrator. LPA's temperature taken upon entry and Covid temperature on sign in log. LPA disclosed to administrator the purpose of the visit.

LPA conducted a tour of the physical plant at 10:30 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

There are hand sanitizing stations all over the facility including signs to wear a mask and other Covid 19 prevention protocol signs were posted on entry door.

The administrator confirmed there are three (3) ambulatory residents residing at the facility. LPA toured the living room and observed adequate seating for the clients. The living area had furnishings and sufficient lighting. The area was clean and well kept.Smoke alarms and carbon monoxide detectors were present and function properly.

The kitchen appeared clean, odorless, and free from debris. LPA reviewed the food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the three (3) clients currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meats, poultry, and frozen vegetables. Emergency food storage in pantry/closet in living room located to the left of the front entry door.

The sharps and cleaning supplies are kept locked in cabinet to the right of the kitchen in the hallway. The client’s medications, records, and staff files, and additional sharps are locked in linen/cabinet locked in hallway to the left of the kitchen