Facility Evaluation Report

On 04/22/22 Licensing Program Analyst (LPA) Jade Jordan conducted an unannounced visit to the facility for purpose of an annual inspection, with an emphasis on infection control using Care Tools. LPA met with Administrator April Gorman and the purpose of the visit was explained. Upon Arrival LPA was screened for Covid-19, and temperature was taken and logged.

The facility is vendorized through Harbor Regional Center as a level 4I home which licensed for 4 ambulatory of which 1 may be non-ambulatory.

The facility is a single story home with four (4) bedrooms, two (2) bathrooms , kitchen/laundry area, living room, dining area, small back yard with table and adequate chairs with covered and attached garage and used as storage. There's no bodies of water on the premises. All outdoor and indoor passageways are free of obstruction.

All bedroom has one bed, one chair, one night stand, drawer, closet and adequate lighting. Bedroom#4 is for the non-ambulatory client with an exit door. All bathrooms have a working toilet, wash basin, bath-tub/shower.

Bathroom #2 is accommodated for the non-ambulatory clients in a wheelchair. Hot water was measured at 105.2 which is within title 22 regulations.

The smoke detectors and carbon monoxide detectors are located in each bedroom and common area. They are all interconnected and working properly. Last fire drill was conducted 04/01/22, LPA observed one active fire extinguisher located in Dinning room.

All the cleaning solutions are locked and stored in the kitchen cabinet and they are inaccessible to clients.

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