Facility Evaluation Report

On 04/10/23, Licensing Program Analyst (LPA), Wendy Gibbs conducted and unannounced annual visit using the full CAREs tool. LPA met with Administrator, Violeta Bawica, and the purpose of today's visit was explained. There are currently 4 Regional Center Clients in placement. All clients are ambulatory.

Structure The facility is a single-story home in a residential neighborhood. The facility consists of the following: Living room, dining area, kitchen, 3 client bedrooms, 1 staff room, 1 staff office, 1 staff bathroom, 1 1/2 client bathrooms, 1 storage room and laundry area. This facility is a duplex unit with adjacent duplex unit having a Adult Residential License #191600459. These facilities were licensed prior to the enactment of the over-concentration statute.

Physical Plant The Administrator and LPA toured the facility inside and out. LPA observed all walkways to be clean, clear, and free of obstructions, hazards, and debris. All gates open easily to exit the grounds. LPA did not observe any bodies of water on the grounds.

Bedrooms LPA toured all bedrooms. All bedrooms contained the required furniture including beds, dressers, night stand, chairs and ample space to store personal belongings, except for one room. Administrator explained that the resident has fallen multiple times because the bed was too high or furniture was in the way. The bed frame and the furniture were moved out of the room. All of the residents belonging are stored in the closet. All bedrooms were observed to be clean and in good repair. LPA checked the staff resident room.

Linens & Hygiene LPA observed an ample supply of linens in the hall closet, including comforters, blankets, sheets and towels. LPA, observed an ample supply of hygiene products stored in the main bathroom. Resident's individual hygiene baskets are stored in the bathroom.

Bathrooms LPA observed the bathrooms to clean and sanitary. All bathrooms had a working toilet, faucets, and shower. All showers had a non-skid mat and shower chairs are available for residents use. All bathrooms had an ample supply of hand soap and paper towel. All bathrooms have ample lighting. The water temperature in the main bathroom measured 115.9-degrees Fahrenheit. The water temperature in the