Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced annual/infection control visit to this facility at 9:45 am and observed COVID signs on the front door. LPA was greeted by House manager Joy Ouma and temperature was taken and recorded in visitor logbook. The administrator was called and arrived at 10:10 am.

LPA conducted a tour of the physical plant at 10:25 am to ensure there are no health and safety hazards and facility staff are following Title 22 Regulations and the following was noted:

Hand washing, coughing etiquette, physical distancing, and other necessary signs were posted in the bathroom and all over the facility. All trash cans were observed to be with cover.

Facility has five (5) five bedrooms: (4) four bedrooms for clients and (1) bedroom designated for staff. There are three (3) bathrooms: (1) one for clients located in hallway near client’s bedrooms, (1) one near living room for visitors/guest, and (1) one bathroom in employee bedroom. There is no body water in the facility.

Foyer/Office near front door observed to be clean and furniture observed to be in good condition. Bedrooms were toured and observed to be clean and properly furnished. Linen storage was also checked and observed to have supply of clean linen.

Bathrooms were observed to be clean and sanitary with necessary supplies and handwashing signs. Hot water temperature ranges at 114.2, 115.5, and 111.8 degrees Fahrenheit..

Living and dining room furniture were also checked for functionality (wear and tear). Furniture was observed to be in good condition and adequate seating for clients. Wall thermostat observed and set to 77 degrees Fahrenheit. Kitchen area was observed to be clean and sanitary. Sharps are locked in under kitchen sink. Food . The facility is observed to have sufficient food supply for the clients both perishable and non-perishable.