Facility Evaluation Report

On 04/24/23, Licensing Program Analyst (LPA), Wendy Gibbs conducted a required annual visit using the full CAREs tool. LPA met with House Manager, Maria Colin, and explained the purpose of this visit. A risk assessment was conducted before entering the facility. Currently there are 4 residents living at the home, that were attending Day Program during the time of visit. The home is licensed to serve 6 ambulatory clients ages 18 to 59, with developmental disability.

Structure The facility is a single-story home in a residential neighborhood. The facility consists of 3 client bedrooms, 2 bathrooms, living room, dining room, kitchen, office, outdoor patio/backyard, and garage/storage room.

Physical Plant LPA Gibbs and House Manager Colin toured the inside and outside grounds of the facility. The outside patio is accessible to clients. There are two seating areas, that have tables and chairs. One of the areas has a canopy to provide shade. There were no bodies of water observed. LPA observed all exits and walkways around the home to be clean, clear, and free of debris and hazards.

Bedroom LPA inspected all client bedrooms, observing them to be clean and in good repair. All rooms had the required furniture, including bed, dresser, night stand, chairs, and storage space for personal belongings. All beds had the required linens including mattress pad, fitted sheets, blankets, comforter, and pillow. All bedrooms were observed to have ample lighting.

Linens & Hygiene In the hall closet, LPA observed an ample supply of hygiene products for residents, including shampoo, body wash, lotion, toothpaste, mouth wash, perfume, etc. Additionally in the closet were incontinence care products for residents. LPA observed a supply of PPEs. There were also a supply of markers, notepads, and pens. In the hall cupboard, LPA observed an ample supply of sheets, blankets, comforters, pillows, and towels.

Bathrooms LPA toured both bathrooms. LPA found bathrooms to be within Title 22 regulation. The bathroom fixtures were clean, in good repair, and working properly. All grab bars were securely attached, and all showers had a non-skid mat. LPA observed ample lighting in both bathrooms. The water temperature measured between 105.5-degrees and 106.9-degrees Fahrenheit.