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 12:45 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 family room with 2 office area combinations. 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 hot water temperature for resident bathrooms as follows: Bathroom #1 at 109.5 Fahrenheit and bathroom #2 bathroom at 112.5 degrees.

The garage is locked and only accessible from the outside. The laundry room is located in the garage. Washer and dryer observed to be in good repair. The toxins are stored and locked in cabinets above laundry