Facility Evaluation Report

License Program Analyst (LPA) Hansen arrived unannounced to conduct a Required 1-year inspection of facility. LPA was welcomed by Case Manager Tina Stanford, LPA spoke via phone to new Program Director, Cederic Jackson who arrived during inspection. There are nine clients currently at the facility.

This social rehabilitation facility is a 28-day program designed to provide transition and stabilizing services to adult clients. Facility tour on 12/5/2023 began at 9:40 AM. Random bedrooms inspected had appropriate furnishings per Title 22 Regulations. There are two bathrooms for clients that were inspected. The hot water temperature in client’s bathrooms measured at 108.6 degrees F and 109.9 degrees F within Title 22 regulations of 105 degrees to 120 degrees F. Toxic cleaning supplies are stored in a locked closet located in the laundry room. Perishable and nonperishable food supplies were sufficient to Title 22 Regulations of 2 days of perishable and 7 days of nonperishable. Knives are kept locked in drawer in staff office area. The kitchen and dining area was organized and free of clutter. The facility is well lit and at a comfortable temperature. The facility was clean and well maintained, with housecleaning service conducting once a month deep clean during inspection, during the month a sign up sheet is filled in by clients to complete and those not are done by staff. There is a large multipurpose room used for client meeting and activities. A large seating area where clients may congregate, or staff are able to hold group meetings is located off the kitchen/dining area.

The facility has a locked medication room. Medications are stored in a locked cabinet within the room. There is also a metal locked box stored within the medication cabinet for any medication that requires a third lock, although on todays visit the lock was not functioning. The Facility has a multi pull station fire alarm with audible/visual notification. Facility has fourteen integrated carbon monoxide/smoke alarms and sprinklers are tested annually by the Greenbrae Fire Dept., last tested 10/2023. Fire extinguishers were found to be charged.