Facility Evaluation Report

On 08/31/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced annual visit at the facility listed above. During today's visit, LPA met with House Manager, Edna Dulay, and explained the purpose of today's visit. The facility is licensed for 6 ambulatory clients who are mentally disabled. There are currently 6 clients residing in the home and 5 were present during the visit.

Structure The facility is a two-story home in a residential neighborhood. The facility consists of 3-client bedrooms, 3-bathrooms, staff office, staff room, living room, kitchen, dining room, and attached garage.

Physical Plant During today’s visit, LPA and House Manager toured the facility and the grounds. The front and back yard were observed to be clean and maintained. In the backyard, LPA observed shaded sitting areas available for client use. All walkways were clean, clear, and free of obstructions, debris, and hazards. The gate on the side of the house easily opens to exit. LPA did not observe any bodies of water.

Bedrooms LPA inspected all resident bedrooms and observed them to be clean and well maintained. All bedrooms had the required furniture including a beds, dressers, chairs, nightstands, and ample closet space for client’s personal belongings. All beds were observed to have the required linens including mattress cover, fitted sheets, blankets, comforter, and pillows. LPA observed an ample supply of bed linens, blankets, and comforters.

Bathrooms LPA inspected all bathrooms and found them to be within Title 22 regulations. All bathrooms were observed to be clean, sanitary, and operational. All showers were free of mold and mildew. All showers had nonskid mats and secured safety handrails. The water temperature measured 113.9-degrees, 118.1-degress, and 118.4-degrees Fahrenheit. LPA observed an ample supply of towels, wash cloths, and toiletries available for clients.

Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliances to be in good working repair, including the stove, oven, dishwasher, microwave, and refrigerator. LPA observed an ample supply of cutleries, pots, and pans.