Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos made and unannounced Annual inspection focused on Infection Control. On today’s visit LPA met with Administrator Janice Harrison and the purpose of the visit was discussed.

This is a 1 story structure with 3 bedrooms. 2 bedrooms are designated as client bedrooms, 1 bedroom is designated as a staff room, and 2 bathrooms. Based on the client population being served and the census, at the time of this visit, the facility appears to be operating within the conditions and limitations specified on the license.

The following was observed, reviewed and inspected: LPA was screened upon entry into the facility. Facility has required postings i regards to Infection control. Facility has an approved mitigation plan as of 3/12/21. Each bedroom contained the required furniture and linens as mandated, 2 bathrooms were clean and operational, ample supply of perishable and nonperishable food items, fully stocked first aid kit, water temperature within required temperature limits, sufficient linen supply, trash cans with tight fitting lids, all smoke detectors were operable, last fire drill conducted 8/2/22, fire extinguisher fully charged, front and back yard clean and free of debris. LPA reviewed the facility postings and observed all required documents, all staff are fingerprint cleared and associated to the facility, LPA reviewed four (4) client and two (2) staff records, all medications and log book reviewed. LPA observed toxins and sharp objects were locked and inaccessible to clients, LPA observed clients activity area, and clients personal hygiene supply. Exits/ Walkways around the home were free of debris and hazards. LPA completed visit with the Inspection Tool focused on Infection Control.

There were no deficiencies cited. Exit interview conducted and a copy of this report was provided.