Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 10:02 AM. LPA spoke with facility staff via telephone call who contacted the facility administrator Joy Lewis. The Administrator arrived to the facility at 11:47 AM. Entrance interview conducted and the reason for the visit was explained. The Administrator informed LPA that the facility does not currently have any clients admitted.

Beginning at 11:48 AM, the LPA, along with facility Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

BEDROOMS : There are three (3) bedrooms in the facility. All bedrooms are located on the ground floor and are designated for client use. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. Bedroom number three (3) was observed to contain a direct exit to the outside of the facility.

BATHROOMS: There are nine (9) Bathrooms located in the facility. LPA observed four (4) half baths and five (5) full baths. LPA observed one (1) bathroom to be designated as a private resident bathroom attached to bedroom #2. Grab bars were observed in resident showers and near resident toilets, all grab bars observed were properly secured. The water temperature was measured between 67.5 and 68 degrees Fahrenheit, which is outside of the range required by regulation. One (1) upstairs bathroom sink was observed to lack hot water flow completely. Additionally, LPA observed this bathroom to be unclean and in an un-sanitary state.

KITCHEN: The LPA observed the kitchen area to be clean. Kitchen appliances appeared to be in operable condition. LPA observed the refrigerator/freezer to be in operable condition and maintained at an appropriate temperature for food storage. Continued on LIC 809C.