Facility Evaluation Report

Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced Annual required visit with a primary focus on infection control measures. LPA was met by Administrator Malika William and the purpose of today’s visit was explained. The facility is licensed to serve 4 ambulatory clients (ages 18-59).

LPA and Malika toured the entire facility inside and out. The home consists of 3 client bedrooms, 2 bathrooms, office, living room, kitchen and dining area. All client rooms were checked. Beds were in good condition, adequate lighting, plenty of dresser and closet space was observed. Walls and floors were clean and in good repair. Bed linens, comforters and bath towels were adequately stocked in each client's room. Bathrooms were found to be within Title 22 regulation. Toilets and water faucets worked properly and showers were free of mold/mildew with adequate lighting, and sufficient toiletries were accessible to clients. Water temperature measured at 117.3 F in kitchen, 112.6 F in bathroom #1 and 114.3 F in bathroom #2.

Perishable and non-perishable food supply was checked and adequately stocked at time of visit. Emergency food supplies were located outside in the garage. Smoke detectors/carbon monoxide were working properly, fire extinguishers were fully charged and operational, toxins and knifes were locked and inaccessible to clients. Medications were centrally stored and properly locked. Outside grounds were toured and no bodies of water were observed. Patio furniture with umbrella was accessible. Exits/ Walkways around the home were free of debris and hazards.

There is one (1) deficiency observed: there are bed rails in one bedroom. Exit Interview conducted and a copy of the report was given to Administrator Malika Williams. Please see 809D

Exit interview held. A copy of the report was provided to Malika Williams.