Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen conducted an unannounced annual 1 year required inspection to this facility and was welcome by Administrator Wilson Benoit. There are 5 clients at the facility 4 of which left shortly after LPA arrival.

LPA toured the facility on 5/15/2023 at 11:40 AM with Licensee/Administrator Wilson Benoit; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. LPA toured the facility building and grounds which was found to be clean and in good repair. Fire Extinguisher was found to be last charged on 5/15/2023 at the time of the visit. Smoke detectors and carbon monoxide detectors were found to be operational during the visit. Hot water temperature measured between 113.3 & 122.9 degrees F falling out of Title 22 acceptable regulation of 105 to 120 degrees F in 1 of 3 client’s bathrooms while touring facility on 5/15/2023 at 11:50 AM. Licensee immediately decreased thermostat on water heater. 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 facility kitchen. Dangerous items were stored inaccessible to develop disabled clients, while touring the facility with Licensee/administrator Wilson Benoit. There was a supply of cleaners, hygiene products and paper products available for clients. The bathroom designated for clients at the facility were supplied with individual paper towels; hand soap dispenser was available. All five client’s bedrooms have lighting & appropriate furnishings on 5/15/2023 at 12:05 PM.

A review of five clients and sample review of three staff records as well as two client’s medications was conducted. LPA reviewed client’s files at 12:30 PM on 5/15/2023 and learned that 5 of 5 clients have an updated reappraisal/needs & care plan, as well as Medical Assessment. P&I's are kept in a locked filed cabinet in the facility office room; facility responsible for 3 out of 5 client’s P facility had P& I and ledgers available during the visit. P& I money not comingled, and ledgers are current at this time.