Facility Evaluation Report

On 1/26/2023, Licensing Program Analyst (LPA) D. Tobola conducted an unannounced Annual Required – 1 yr. Infection Control inspection for this facility and met with Administrator, Antyon Liggins. The facility currently provides care for 5 clients 1 of which was attending day program at the time of visit.

LPA arrived at the facility and had temperature checked and logged. LPA continued with a tour of the facility with Administrator; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers were found throughout the facility and to be last charged on 6/15/2022 at the time of the visit. Smoke and carbon monoxide detectors were located on both levels of the facility, inspected and found to be in working order. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations with balanced meals and alternative options for clients. LPA conducted a sample file review and found all staff to have current CPR and 1st Aid certification on file.

Toxins are stored in a locked cabinet located in the dinning room and maintenance closet. Sharps were observed to be kept locked in a designated drawer located in the kitchen. There was a supply of hygiene products and paper products available and kept in client individual bedrooms. Facility provides additional hygiene product to clients when requested and located in upstairs hallway closet. Facility has restrooms equipped with paper towel and soap dispensers. All client bedrooms have lighting & appropriate furnishings. Medications and facility records are stored in designated cabinets and found to be secured. LPA measured water at faucets accessible to clients which measured between 106.0 and 107.4 degrees F which is within Title 22 regulations between 105 and 120 degrees F.