Facility Evaluation Report

Licensing Program Analyst (LPA) Elsie Campos arrived unannounced to conduct a required annual visit. The LPA met with staff and explained the reason for the visit. Upon arrival, staff notified the LPA that two (2) out of four (4) clients were not in the facility at the time of the visit as one (1) was working and one (1) was at school. The LPA toured the facility to ensure there are no health and safety hazards and to ensure regulatory compliance.

KITCHEN : Knives and chemicals are locked inaccessible. Appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. However, the following items were found to be expired Raspberry Balsamic Vinegar 11/17/18, Coconut Vinegar 9/20/20, Cereal 6/21/22, Steal Cut Oats 11/24/21 and 8/12/21, Pancake Mix 3/27/21, Hot dog buns 10/22/22, White Bread 6/28/22, Wheat Bread 8/30/22. BEDROOMS : The client rooms were furnished appropriately; beds had with clean linens and rooms had sufficient lighting. RESTROOMS : Restrooms were clean and sanitary with grab bars and non-skid surfaces. Between 3:39 p.m. and 3:42 p.m., water temperatures measured between 116.7 F and 116.9 F, which is within the required range of 105-120 degrees F. Restrooms were fully stocked. Hand-washing signs were observed. COMMON SPACES : Fire extinguisher was observed to be full however did not have a proof of service or proof of purchase. The backyard had furniture and a covered area for resident use. The side gate door was self-latching but observed to be broken and the door was left open to allow access. A pool was observed with two gates both gates were locked, and the pool was inaccessible. Two locked storage sheds were observed, one contained personal belongings for staff and one contained cleaning supplies. Washer and dryer are located in the backyard. No cleaning supplies were observed to be accessible. The facility has a covered car port and no garage.