Facility Evaluation Report

Inspection visit at the Friends United, with emphasis on infection control. LPA Nwaokoro met with facility staff Maria Colin and explained the purpose of the visit. A risk assessment was done with Maria Colin before entering the building. The facility is licensed to serve 6 ambulatory clients ages 18 to 59, with developmental disability.

LPA and staff Maria tour of the facility. Currently the residential house has (4) ambulatory clients, and at this time (4) clients are between the ages of 18-59. As part of the inspection, LPA reviewed: 4 client service records, client P & I records, 8 personnel staff records, and 3 client medication records.

LPA and Maria Colin, Facility Manager toured the facility inside and outside grounds. The single-story residential house consisted of (3) client bedrooms, (2) bathroom, living room, dining room, kitchen, outdoor patio/ backyard, garage/ storage room. LPA inspected all client bedrooms, observing them to be clean, and in good repair. LPA observed the following during inspection of client rooms: mattresses and box springs in good condition, adequate lighting, dresser/closet, and all required bed linens. In addition, sufficient bedding, linens, and toiletries provided to clients.

LPA observed that the facility had a fully stocked bedding and towel closet. In addition, LPA observed bathrooms were found to be within Title 22 regulation. The bathroom fixtures were clean, in good repair, and working properly and included grab bars and on-slip mats. Bathroom 1 hot water temperature measured at 119.4 degrees F, and bathroom 2 hot water temperature measured at 118.8 degrees F. Perishable (7 day) and non-perishable (2 day) food supply were checked and are adequately stocked. LPA reviewed (4) client files and observed to be complete and current. Personal and Incidental funds are kept locked in a filing cabinet, ledgers appeared to be current and matching the facility's record of receipts.

Facility Evaluation Report continued on LIC 809C.