Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced Annual Required visit to this facility at 12:55 pm. LPA Smiths’ temperature taken upon entry by staff Maria Paz Smith and Covid symptoms questions on sign in log. LPA informed staff the purpose of this visit. The administrator was called at 1:10 pm and authorized Maria Paz Smith to sign report.

LPA conducted a tour at 1:55 PM of the physical plant to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

LPA was escorted to the living room and den area and observed adequate seating for cliens. Staff confirmed there are three (3) clients in the home. The living room and den area had furnishings, sufficient lighting and the area was clean.

Smoke alarms and carbon monoxide detectors were present and function properly. There are two (2) fire extinguishers. One is located near front entrance and the other is in kitchen both observed to be charged

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The kitchen food supply was observed and sufficient for the three (3) clients currently residing there. Two (2) days of perishable fruits, vegetables, milk and eggs observed with juice. The freezer is stocked with meats. Canned food and water stored in hall closet to the left of the front door.

Medications are locked in wall cabinet in hallway across from the kitchen. Medications observed to be locked and inaccessible to clients. The first aid kit is stored in locked staff room. LPA observed fully stocked Curad first aid kit with backup first aid supplies in a clear tote.

Sharps observed to be locked in drawer to the left of kitchen sink and inaccessible to clients. All the toxins, cleaning solutions and disinfectants are locked under kitchen sink and locked in closet to the