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 Darren Page. Frankie McPherson – Administrator was contacted and spoke with LPA on the phone and licensee was Jim Lee was present. Some clients were present at the facility. Clients have day program some days of the week. There are activities planned for clients during the day if they want to participate.

During facility tour on 4/8/2022 with staff Darren 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 11/2021 at the time of the visit. Carbon monoxide detector was operational during visit. Sample test of Smoke detectors 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 box inside laundry room and closet in upstairs hallway. Dangerous items were stored inaccessible to clients. There was a supply of cleaners, hygiene products and paper products available for clients. Client’s bedrooms that were inspected had lighting & appropriate furnishings; mattress pads are available for clients at the facility. Facility hot water temperature in clients' bathroom faucet measured 116.4 degrees F within Title 22 acceptable regulations of 105 to 120 degrees F. Disaster Drills are conducted and facility understands that they need to be conducted at least every six months.

Facility has submitted a mitigation program plan that has been approved. Posters have been placed at facility, small table with hand sanitizer and other items designated for visitors are at entrance. Staff before coming into work has temperature checked. Facility has PPE supply stored in laundry room. There has been new staff hired and no new clients since COVID-19. (Continued LIC 809-C)