Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced One (1) Year Required Infection Control visit for this facility at 10:15 am. LPA rang doorbell, and no one answered. LPA contacted facility and spoke with administer. Administer states all residents at day program and she will arrive in approximately 30 minutes. Upon care staff arrival LPA disclosed the reason for this visit.

LPA conducted a tour of the physical plant at 10:45 am to ensure there are no health and safety hazards and facility follows Title 22 Regulations.

There are no bodies of water on facility premises. The facility has three (3) bedrooms and (2) two bathrooms for residents’ use. The bedrooms had adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets for residents’ comfort and safety.

There are two (2) bathrooms available for resident use. Each bathroom has posted “wash your hands” signs and the following items available: hand soap, paper towels, and trash cans. The hot water temperature was measured for the two (2) bathrooms to ensure it is within the required range for residents’ comfort and safety. The water temperature range was between 117.8- and 124.4 -degrees Fahrenheit. Facility maintains a comfortable temperature for residents

Common areas were observed for the ability to safely serve the needs of residents. These included the living room and dining area. Common areas observed furnished appropriately. LPA observed a sufficient supply of linens and PPEs in hall closets.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the five (5) residents currently residing there. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. Sharps are locked in separate kitchen cabinet observed to be locked and inaccessible to residents in care.