Facility Evaluation Report

Licensing Program Analyst (LPA) Tao conducted an unannounced annual inspection visit. Upon arrival, LPA met with Administrator, Loveday Chinaka, who assist with today's visit. The facility is licensed to serve four (4) developmentally disabled clients, ages 18-59. The facility is approved for two (2) non ambulatory clients. Client census is four (4). No clients have a restricted health condition. Administrator certificate is current and expires on 04/01/2023. Facility annual fees are current.

During the visit, the infection control domain tool was used, a tour of the facility was conducted, food supply was reviewed, and medications were reviewed.

The facility is a single house located in a residential neighborhood and consisted of four (4) client bedrooms, two (2) bathrooms, a living room, a dining area, a kitchen, an office, laundry area, a detached garage and an outdoor activity area in the back yard. All client rooms were furnished with appropriate furniture for clients’ comfort. The bathrooms were furnished with grab bars and nonskid surfaces. Common areas were observed for the ability to safely serve the needs of the clients. Hot water temperature was 112.7 degrees Fahrenheit which was within Title 22 Regulation guidelines. Adequate linen and personal hygiene supplies were observed. Facility maintained a comfortable temperature for clients . Sufficient supply of perishable and non-perishable foods were observed. Back yard activity area was a shaded area with chairs and free of debris/ hazard. Smoke and carbon monoxide detectors were dual, hardwired and operable. First aid kit was fully stocked with manual. The last Fire/ Emergency Drill was conducted on 05/04/22.