Facility Evaluation Report

Licensing Program Analyst (LPA) Hansen conducted an unannounced annual 1-year required inspection to this facility and was welcome by staff Veronica Samuel. Administrator (pending certification) Andrea Jackson was contacted by telephone and arrived later at facility for this visit. Clients were leaving to attend day program at the time of the visit. There are 5 clients at the facility.

LPA toured the facility on 6/8/2023 at 8:20 AM with Staff Veronica Samuel; 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 5/24/2023 at the time of the visit. Smoke detectors were found to be operational; although carbon monoxide detector was found to be nonoperational during the visit (see LIC 9102 TV), staff replaced batteries during visit. Hot water temperature measured between 123. & 123.8 degrees F not within Title 22 acceptable regulation of 105 to 120 degrees F in 2 of 2 client’s bathroom while touring facility on 6/8/2023 (see LIC809-D). 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; although kitchen freezer contained unwrapped hashbrowns (see LIC 9102 TV). LPA and staff observed Toxins stored in an unlocked cabinet inside the laundry/garage room with kitchen door to garage open (see LIC 809-D). Dangerous items were stored inaccessible to develop disabled clients. 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, and beds were outfitted with mattress pads as required by Title 22.