Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha Smith conducted an unannounced Annual Required visit to this facility. LPA's temperature taken upon entry. The administrator was contacted and authorized staff to sign.

LPA conducted a tour at 2:25 pm 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 2 nd living room with office combination. The dining and living room areas 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 meats. The kitchen was observed to be sanitary. There is an additional refrigerator and deep freezer with food replenishment 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 under bar cabinet observed to be stocked.

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 for residents’ use. Each bathroom has posted “wash your hands” signs and were clean, properly supplied and had functional fixtures. The water temperature for resident bathrooms as follows: Bathroom #1 at 125.0 Fahrenheit and bathroom #2 bathroom at 127 than to 125.0 degrees Fahrenheit and waterlog notes 118.0 on morning shift. Staff notes water fluctuates throughout day and will ensure water will be checked on evening shift.