Facility Evaluation Report

Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced required annual inspection at the facility. LPA arrived at 10:30AM and met with Program Director Michele Clark and Human Resources Director Gregory Allen who arrived during the visit. Entrance interview conducted.

LPA, along with the Program Director, toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations. The Property is a two (2) story single family dwelling. The following was observed:

KITCHEN: LPA toured the kitchen at 10:47AM. Appliances and fixtures appeared clean and functional. There was a sufficient supply of nonperishable food and perishable food. Knives and other sharps are stored in the locked pantry. Cleaning supplies were not stored with food. Foods were labeled and checked for expiration dates. There were no visible immediate hazards observed.

BEDROOMS: There are five (5) bedrooms, of which four (4) are designated for private resident use and one (1) is a shared room. All bedrooms were equipped and supplied with appropriate furniture, bedding and linens, as well as emergency lighting. There were no visible hazards or discrepancies observed.

BATHROOMS: There are six (6) total bathrooms, three (3) on the ground floor and three (3) on the second floor. Five (5) restrooms are designated for private resident use and one (1) is designated as a staff bathroom. Bathrooms were clean, sanitary, and in operating condition. Water temperature was measured in client bathrooms and measured at 133.0 degrees F; staff adjusted water temperature during visit. Hot water was re-tested and measured within the required range of 105 F to 120 F at the time of the visit. LPA also observed caution hot water signs above the bathroom faucets. Report Continued on LIC809-C.