Facility Evaluation Report, 06/27/2023

Licensing Program Analyst (LPA) Hansen conducted an unannounced annual 1 year required inspection to this facility and was welcome by staff Dominique Mills. Administrator Andrea Jackson was contacted by staff and arrived during the visit. Three clients had already left and three were leaving to attend day program at the time of the visit. There are 6 clients at the facility.

LPA toured the facility on 6/27/2023 at 8:15 AM with staff Dominique Mills; facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Fire Extinguisher was found to be last charged on 5/23/2023 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 105.1 & 111.2 degrees F within Title 22 acceptable regulation of 105 to 120 degrees F in 3 of 3 client’s bathroom faucets while touring facility on 6/27/2023. 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 closed in the hallway and in the office. Dangerous items were stored inaccessible to develop disabled clients on 6/27/2023 while touring the facility with staff Dominique Mills. 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 six client’s bedrooms have lighting & appropriate furnishings, and beds were outfitted with mattress pads as required by Title 22 Regulations # 85088(c)(4).

A review of six clients and sample review of five staff records as well as two client’s medications was conducted. LPA reviewed client’s files at 9:15 AM on 6/27/2023 and learned that 6 of 6 clients have an updated reappraisal/needs & care plan, and physician’s report on file at this time as required by Title 22 Regulation.