Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and met with staff Daniel Limpin. Administrator Noel Camatog was contacted by staff. Clients were present at the facility. Per staff only 1 client at this time is going to day program due to not enough staff at day programs. There are activities planned for clients during the day if they want to participate.

LPA arrived at the facility and had her temperature checked and logged into visitor’s binder. During facility tour on 4/19/2022 with staff Daniel Limpin facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Sample of client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 03/2022 at the time of the visit. Carbon monoxide detector and Smoke detectors test was conducted and were operational during this visit. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator were properly stored as per regulations on this day at the time of the visit. Toxins are stored in a locked shed outside by the front door of the facility. LPA observed dangerous items such as several kitchen knives and scissors stored unlocked in a kitchen draw. (see pictures, LIC 809-D) Knives and scissors were locked during this visit in a freezer box, however; facility will need to find a more appropriated place for dangerous items. There was a supply of cleaners, hygiene products and paper products available for clients. Sample of client’s bedrooms were inspected and had lighting & appropriate furnishings; mattress pads are available for clients at the facility. Facility hot water temperature in clients' bathroom faucets measured between 121.2 degrees F and 125.7 degrees F in 3 out of 3 faucets falling out of Title 22 acceptable regulations of 105 to 120 degrees F. Disaster Drills have been conducted every six months with the last one being conducted on 1/07/2022.