Facility Evaluation Report

Licensing Program Analysts (LPAs) Helena Rummonds and Jacky Macias arrived unannounced at approximately 9:00AM to conduct an Annual Required inspection and follow up on an incident report that was received by Community Care Licensing (CCL) on 06/12/2024. LPAs were greeted by staff and discussed the purpose of the visit. Administrator, Kayla Hotchkiss arrived shortly after.

Upon arrival, LPAs observed HVAC repair services at the facility. LPAs and staff initiated a tour of the facility around 10 AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. Water temperature in sinks accessible to clients measured at 101 and 100 degrees F which are not within the range of 105 to 120 degrees F allowed per regulation. Administrator slightly turned up the water heater and will confirm with the LPA that the temperature has fallen into the range required as per regulation within 48 hours of inspection.

Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility had at least two days of perishable and one week of non-perishable foods. Medications were centrally stored and locked.

Fire extinguishers were last serviced 04/29/2024. Facility smoke and carbon monoxide detectors located throughout the facility were tested and operational during inspection. Most recent fire/disaster drill was conducted 05/09/2024. Client cash resources were reviewed. Medications and medication records were reviewed. Five staff files and five client files were reviewed. Staff have required First Aid and CPR certificates. Administrative Certificate for Administrator, Kayla Hotchkiss (7032017735) expires 12/06/2025.