Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 10:15 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Chief Clinical Officer/LMFT Sharon Volner and Director of Operations/LVN Wendy McCain arrived shortly thereafter.

The LPA along with the Director of Operations toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: Kitchen appliances were in operable condition. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. Additional food supplies and emergency food supply is kept in the attached garage. The LPA observed the entrance closet where all medications and sharps are kept locked and inaccessible. Client files are locked and inaccessible in the staff office. BEDROOMS: Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are three (3) designated client rooms that are shared. There was a linen closet in the hallway with extra towels and linens. BATHROOMS: There are three (3) bathrooms for client use. Client bathrooms are clean and sanitary and in operating condition. Bathrooms are sufficiently stocked with hand liquid soap and paper towels. Bathrooms were measured for hot water, the first bathroom measured at 118.9 degrees Fahrenheit at 11:09 a.m., the second bathroom measured at 109.4 degrees Fahrenheit at 11:11 a.m., and the third bathroom measured at 111.2 degrees Fahrenheit at 11:13 a.m.