Facility Evaluation Report

On 05/18/2023, Licensing Program Analyst (LPA) Perry Scott conducted an unannounced annual required visit using the new CARE Inspection Tool. LPA met with Administrator, Eve Tighe and explained the purpose of today’s visit. The facility is licensed to operate for (6) ambulatory (developmentally disabled or Mentally Ill) adults ages 18 through 59. Currently, the home has (3) clients. The clients are Harbor Regional Center clients. None of the clients have Restricted Health Care Conditions and none are utilizing postural supports or protective devices. The facilities annual fees are due on 05/23/23, with a balance of $1,135.00.

The facility is single story structure located in a residential neighborhood. It consists of the following: three (3) client rooms, two (2) client bathrooms, one staff room used for office space as well, one (1) living area, one (1) dining area, kitchen, and outside patio area with a table and umbrella for shade.

LPA and Ms. Tighe toured the physical plant. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting provided, storage for client personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 116.4 degrees. The laundry area is located next to the kitchen. Documents are posted as mandated by the DPH and CCLD.

LPA conducted a records review of (3) residents records, (6) staff records, (2) clients Personal & Incidental Records and reviewed the facility disaster plan. All client & Staff records were complete. The facility disaster plan was current and in compliance with Title 22 at the time of visit. LPA reviewed (3) Client Medication Administration Records and did not observe any discrepancies at the time of visit.