Facility Evaluation Report

Licensing Program Analyst (LPA) Christine Wong conducted an annual required visit. LPA met with administrator Brenda Watkins and explained the reason for the visit. LPA used the infection control tool to evaluate the facility. LPA observed the facility plant, COVID-19 procedures, reviewed clients' medications, observed food supply, and reviewed clients and staff files.

The facility is a single story house and located in a residential neighborhood area. The facility includes living room, four clients bedrooms, two bathrooms, dining area, kitchen/laundry area and a detached garage. All 4 clients bedrooms were toured. Each client bedroom has one bed, dresser, night stand, chair and required bed linen and furniture and sufficient lighting and closet space. All 2 bathrooms were toured and they were clean, sanitary and in a operable condition. The hot water temperature in both bathrooms were tested between 117.4 and 118.2 degrees F. which is within the Title 22 regulation. The refrigerator and kitchen cabinet consisted of two days perishable and seven days non-perishable food supply. All the appliances in the kitchen are working properly. The common area such as living room and dining area are clean and have required furniture. The front and back yard are maintained well and the back yard has a shaded area with table and chairs for client to utilize. LPA also inspected the smoke detectors and carbon monoxide detectors and they are all working well.

LPA reviewed all 4 clients files to confirm emergency contact is updated. LPA also reviewed 2 staff files to confirm health screenings and fingerprint clearances and they are all fingerprint cleared and their health screening forms were updated on the file. LPA also reviewed all 3 clients' medications and they all seemed accurate and updated.