Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen conducted an unannounced Annual Required inspection to this facility and met with Jim Lee, Licensee & Franke Gelotte, Administrator. 4 clients were leaving to attend day program and 1 stayed home with an injured ankle during the time of the visit. There are 5 clients at the facility.

LPA toured the facility on 6/6/2023 at 8:15 AM with licensee Jim Lee; 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 Extinguisher was found to be last charged on 12/27/2022 at the time of the visit. Smoke detectors & carbon monoxide detectors were found to be operational during the visit. Hot water temperature measured 107.7 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in client’s bathroom while touring facility. 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 cabinet inside the laundry room. Dangerous items were stored inaccessible to clients; although there was disinfectants located on kitchen windowsill at time of visit (see LIC 9102) and immediately locked up. There was a supply of cleaners, hygiene products and paper products available for clients. The bathroom designated for clients at the facility were supplied; hand soap dispenser was available. All client’s bedrooms have lighting & appropriate furnishings.

A review of five clients and a sample review of two staff records as well as two client’s medications was conducted. LPA reviewed client’s files at 9:00 AM on 6/6/2023 and learned that 5 of 5 clients have had updated reappraisal/needs although do not have copies in files which Administrator stated GGRC has not provided (see LIC 9102) & care plan and physician’s report. P&I's are kept locked and are not co-mingled; facility responsible for 5 client’s P&I. LPA learned that 5 out of 5 client’s P&I ledgers are current.