Facility Evaluation Report

Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at CH&S Life College for the purpose of conducting a Required 1 year inspection. LPA was greeted at the door by, Program Director, Jennifer Harter, and was granted access into the facility.

LPA and Program Director toured the facility. Facility was found to be clean in good repair and at a comfortable temperature. The facility consists of a kitchen, 2 bathrooms, three activity rooms, outdoor patio, and a staff office. Hot water measured at 106 degrees which is within Title 22 regulations of 105 to 120 degrees F in 2 of 2 faucets used by clients. Participants typically bring their own lunches and snacks unless there is a party or special occasion. All exits were found to be unobstructed. Facility does not assist with Medication Dispensing. Fire extinguishers were observed with an inspection tag date of March 2022, but were outdated (See LIC 809D and Observation/Photo) . Carbon Monoxide and Smoke Detectors were tested and found to be operational during the inspection. First Aid kit was inspected and found to be appropriate during the inspection. Infection Control Plan was reviewed with the Program Director. LPA advised facility to contact County Public Health and Community Care Licensing immediately if symptoms or COVID-19 + in the facility. Emergency Disaster Plan was reviewed with the Program Director. Emergency Disaster Drills are conducted every 6 months. During this required 1 year inspection, LPA reviewed 4 staff files. 1 out of 4 staff files did not have the 8 hours of required training (See LIC 9102-Technical Advisory) . 5 client files were reviewed and found that 1 out of 5 clients do not have an updated Individual Service Plan (ISP) (See LIC 9102-Technical Advisory) . LPA interviewed staff and clients in care at the time of the inspection. LPA requested the following documents:

LIC 308-Designation of Responsibility (If applicable)