Facility Evaluation Report

09/17/2025, Licensing Program Analyst (LPA) Loera arrived unannounced to conduct a Required 1 Year visit and met with Licensee/Administrator, Karen Bird. Facility has an approved fire clearance and capacity for 6 Ambulatory Clients. Facility currently has 5 clients in care. Upon arrival, LPA was informed all 5 clients are out of the facility attending Day Program.

LPA and Licensee toured the building and grounds. LPA observed the facility to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. All rooms were furnished per regulation. All rooms were in good repair. Extra hygiene products and linens were available. Water temperature in sinks accessible to clients in care were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected May 2025. Smoke/Carbon Monoxide detectors located throughout the facility were tested and operational. Facilities last emergency/fire drill was conducted 09/08/2025. Chemicals and sharps were located in the garage and in the staff room and were found to be secured. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. Cash resources were reviewed and documented.

LPA conducted a review of 5 client records. All records had the required documentation. LPA conducted review of 5 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. Administrator certificate for Karen Bird is current; #7034727735 06/10/2024 - 06/09/2026.