Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced 1-year visit to this facility. LPA Smith was greeted by staff, and the administrator was present at the facility.

LPA conducted a tour at 10:25 am of the physical plant to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations.

There are two living room areas. One living near front door attached to dining area and family room with 2 office area combinations. The dining and living room areas were observed to have adequate furnishings, sufficient lighting and observed to be clean with adequate seating for residents.

The kitchen food supply was observed and sufficient for the four (4) residents. Two (2) days of perishable fruits, vegetables, milk, and eggs observed. The freezer is stocked with meat and frozen foods. The kitchen was observed to be sanitary. An additional refrigerator and deep freezer with food replenishment is in the garage.

The medication cart is stored in dining area and was observed to be locked and inaccessible. The sharps are locked in kitchen cabinet near fridge in a locked box and observed to be inaccessible. There are three (3) first aid kits stored in kitchen and observed to be stocked. Toxins under sink were observed to be inaccessible to residents.

There are four (4) bedrooms in the home designated for residents’ use. All bedrooms were properly furnished and had sufficient lighting. There are two (2) bathrooms in home. Each bathroom is properly supplied and has functional fixtures. The hot water temperature for resident bathrooms is as follows: Bathroom #1 at 118.0 Fahrenheit and bathroom #2 bathroom at 115.0 degrees.