Facility Evaluation Report

Licensing Program Analyst (LPA), Tihesha Smith conducted an unannounced Required 1-year inspection at this facility 10:03 am LPA was greeted by staff and disclosed the purpose of the visit. Staff contacted the administrator.

LPA conducted a tour of the physical plant at approximately 10:20 am to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

Common areas were observed for the ability to safely serve the needs residents. These included the living room, dining and family room combination, and kitchen. The common areas were checked for cleanliness and furniture was checked for functionality. Common areas observed to have adequate seating for residents.

LPA reviewed the food service areas, food storage and supply (perishable and nonperishable foods). The

kitchen food supply was observed and sufficient for the three (3) residents currently residing there. Two (2) days of perishable food observed. The freezer is stocked with meats and frozen vegetables. However, the meat was not properly stored in containers. Resident medications and first aid kit/supplies are stored in hall closet near laundry room. Medications observed to be locked and inaccessible to residents in care. Sharps are locked in kitchen drawer and observed to be in accessible to residents. Toxins are stored and locked in laundry room. Toxins observed to be inaccessible to residents. There is one (1) fire extinguisher attached to wall in kitchen and observed to be charged.

Laundry room is located near garage. The appliances observed to be clean and functional.