Facility Evaluation Report

On 01/07/2024 at 10:00 am, Licensing Program Analyst (LPA) Lorena Casillas conducted an unannounced one (1) year required visit for this facility. LPA informed the Administrator the purpose of the visit.

Infection Control and Emergency Preparedness Plan: LPA reviewed facility Infection Control Plan and Emergency Preparedness Plan to make sure protocols are being reviewed and/or updated. Plans were discussed and updated.

A tour of the physical plant was conducted with the Administrator at 11:00 am. The facility has five (5) bedrooms, with one (1) room designated for live in staff, and two (2) bathrooms currently occupying four (4) clients. All clients were out in the community.

Kitchen: LPA conducted a tour of the kitchen around 11:20 am and observed there to be sufficient stock of two-day perishable and seven-day non-perishable foods. Frozen foods are properly wrapped and stored. Food storage and preparation areas are clean and inaccessible to pests. LPA observed all knives and sharp objects being double locked and inaccessible to clients in care. LPA observed medications to be locked and inaccessible to clients.

Client Rooms: LPA observed all rooms to have the appropriate bedding, pillows and covers. There is a nightstand, chair, bedding and sufficient lighting for each bedroom.