Facility Evaluation Report

Licensing Program Analyst (LPA) Tihesha “Lynn” Smith conducted an unannounced Annual Required/infection control visit to this facility at 1:45 pm. LPA Smiths’ temperature taken upon entry and Covid symptoms questions asked by caregiver Anabelle Dulay. LPA informed staff the purpose of this visit. The administrator was called at 1:50 pm. Administrator was called again at 3:30 pm and authorized House Manager Dennis Bonifacio to sign report.

LPA conducted a tour at 2:35 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 and dining combination area and observed adequate seating for residents. Staff confirmed there are six (6) clients in the home. The living area had furnishings, sufficient lighting and the area was clean.

Smoke alarms and carbon monoxide detectors were present and function properly. The fire extinguisher is located in living room and 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 six (6) 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 stored in wood cabinet in kitchen against wall and extra water on floor next to canned food cabinet

Medications are locked in separate 3-tier cabinets against kitchen wall. Medications observed to be locked and inaccessible to clients. LPA observed fully stocked first aid kit locked in top cabinet with facility, staff and client files.