Facility Evaluation Report

Licensing Program Analyst (LPA) Fernandes-Goes conducted an unannounced Annual Required – 1 yr. Infection Control inspection to this facility and was welcome by staff Baksho who contacted administrator. Administrator Wilson Benoit arrived during this visit. Clients were present at the facility. Facility has only 1 client who needs a one on one with the other clients being very independent. There are activities planned for clients during the day if they want to participate.

LPA arrived at the facility and had her temperature checked to be logged into notebook. During facility tour on 3/1/2022 with administrator Wilson Benoit 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 04/2021 at the time of the visit. Carbon monoxide detector and sample 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 closet in the 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 114.0 degrees F in 1 out of 1 faucet within 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 1/15/2022.