Facility Evaluation Report

Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced plan of correction (POC) visit to follow up on deficiencies given on 9/14/22.

On 9/14/22 LPA Flores conducted an annual visit and provided the following deficiencies:

Section 81088(e)(1) Fixtures, Furniture, Equipment, and Supplies. LPA tested water temperature in bathroom #2 water temperature tested at 121.4 degrees F which is not within the required 105-120 degrees F. LPA Flores tested water temperature in bathroom #2 and water tested at 110.6 degrees F., which is within the required 105-120 degrees F. Deficiency cleared on 9/28/22.

Section 81705(b)(6)(D) Health Related Services. LPA Flores reviewed medication for clients and client #1(C1) and #2(C2) had PRN medication. LPA Flores received physician's order request via email on . Deficiency cleared on 9/15/22.

Section 81066(c)(10) Personnel Records. LPA Flores reviewed staff files and staff #2 (S2)and and #3(S3) did not have a health screening on file. LPA Flores received health screening for S2 and S3 via email on . Deficiency cleared on 9/22/22.

Section 81066(c)(11) Personnel Records. LPA Flores reviewed staff files and S3 did not have a TB test clearance on file. LPA Flores received TB test clearance for S3 via email on 9/22/22.

Exit interview was conducted with Travis Whalen Program Technician and a copy of this report was provided.