Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Yee conducted an unannounced required Annual Inspection and used the CARE Inspection Tool to conduct the visit. Upon arrival, LPA Yee was let into the home by Aprille Ross. Maria Dahlmann was contacted by Staff and she joined the visit at 11:09am. The reason for today's visit was provided. Gurveen Bal, Therapist arrived in the afternoon to conduct the rest of the visit.

The facility is a single storey family home consisting of a dining room, Living room, a kitchen, a family room, four bedrooms of which one is designated as an office, a common bathroom and a private bathroom located in the bedroom identified as room #4. Located in the back is a separate building with a separate address of 12207 Kittridge Street and is not part of the facility. No bodies of water observed on the property. The facility is fire cleared for 6 AMBULATORY clients.

On today's visit all 11 domains of the CARE Inspection Tool was reviewed. Also reviewed on today's visit were 2 client files and 6 staff files. A tour of the facility, inside and outside was conducted.

The following was observed on today's visit:

The living room, dining room, kitchen and family room were all appropriately furnished for it's designated use.

Bedroom #1, Bedroom #2 and Bedroom #4 were all observed with 2 beds each, 2 chairs, 2 night stands, 2 dressers and built in closets.

The common and private bathroom were both equipped with a shower stall, a sink and a toilet. Slip resistant mats were observed in the shower stalls. Water temperature tested in the common bathroom read 127.2 degrees Fahrenheit and the water in the private bathroom read 127.1 degrees Fahrenheit.