Facility Evaluation Report

Licensing Program Analyst (LPA) Emily Peraldi arrived at the facility unannounced to conduct a required annual visit at 12:15 p.m. LPA was greeted and screened by house manager, Samuel Forman. The Administrator was not available at the time of the visit and authorized staff, Samuel Forman to sign the report. This annual had a specific emphasis on infection control practices and procedures. At the time of the visit, the clients were at day program.

At 12:40 p.m. LPA and staff began the physical plant tour inside and outside to ensure there are no health and safety hazards and facility is in compliance with the Title 22 Regulations.

COMMON AREAS: At 12:41 p.m., LPA observed common areas to be relatively clean and properly furnished. Signs are posted throughout facility to promote handwashing, cough/sneeze etiquette, and physical distancing. Required signs such as the license and complaint poster are posted around the facility. At 12:44 p.m., LPA observed the fire extinguisher to be fully charged and last serviced on 09/30/2021.

KITCHEN: At 12:45 p.m., LPA observed the kitchen/dining area. Knives are stored in the locked kitchen drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 12:45 p.m., kitchen hot water temperature measured at 108.8-degree Fahrenheit. Medications and first aid kit are located in a locked kitchen cabinet.

BEDROOMS: At 12:49 p.m., LPA observed multiple client bedrooms, which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Passageways were free and clear from obstruction. Inside temperature was maintained at a comfortable level.