Facility Evaluation Report

Licensing Program Analyst (LPA) Trevor Byrne arrived at the facility unannounced to conduct the required annual visit at 11:05 AM. LPA met with Administrator Mark Samuel. Entrance interview conducted and the reason for the visit was explained. Beginning at approximately 11:10 AM, LPA and facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that the facility is in compliance with Title 22 Regulations. The following was observed.

BEDROOMS: LPA and the facility staff toured six (6) randomly selected bedrooms; three (3) on the first floor and three (3) on the second floor. All rooms observed were properly furnished with sufficient lighting and clean linens and appropriate furnishings. All client bedrooms were observed to be clean and in good repair.

BATHROOMS : All client rooms have an attached private bathroom. Additionally, there is a staff restroom located in the kitchen. All bathrooms inspected were observed to be clean and in good repair The hot water temperature tested in all inspected bathrooms and was observed to be within the range of 112.6 – 114.0 degrees Fahrenheit which is in compliance with regulation. All inspected grab bars were observed to be appropriately secured.

KITCHEN: LPA observed the kitchen to be inaccessible to clients. The kitchen area appeared to be clean and in good repair. All appliances and fixtures appeared to be functional. LPA observed a sufficient supply of two (2) days perishable and seven (7) days non-perishable food stored in the refrigerators and freezers. The refrigerator and the freezer were observed to be maintained at an appropriate temperature. Knives and other sharp utensils were stored in the kitchen inaccessible to clients in care. CONTINUED ON LIC 809C.