Facility Evaluation Report

At approximately 11:50AM, Licensing Program Analyst (LPA) Felias arrived unannounced to conduct a Required 1 Year visit and met with Assistant Manager, Sergio Spikes. Administrator, Yvette Morgan, was available by telephone. Facility is an Adult Residential Home that provides care and assistance for Adults with Disabilities. Facility has an approved fire clearance and capacity for 6 Ambulatory Clients. Upon arrival, LPA was informed that there were 6 clients in care with four clients out of the facility with attending Day Program and two staff members on-site.

At approximately 12:00PM, LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 12:10PM, LPA conducted a walk-though of the facility with Assistant Manager. LPA observed the following: Facility was found to be clean and at a comfortable temperature with all exits free from obstruction. Facility had emergency lighting. Facility is a 1 story building with 5 Client bedrooms, 2 1/2 bathrooms, 1 staff office, and common areas. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Toxins were observed to be stored inaccessible to clients. There was an appropriate supply of cleaning products, linens, hygiene products and paper products available for clients. Mattress pads were in place or available for client use. Hot water temperatures for all sinks in facility were within Title 22 regulations of 105 to 120 degrees Fahrenheit.

LPA reviewed staff and client files. Administrator's Certificate for Yvette Morgan (7031272735) was current with an expiration date of 07/19/2025. Fire extinguishers were last inspected April 2024. Smoke detectors and carbon monoxide detectors were tested and operational. The last facility fire/disaster drill was conducted in July 2024.

LPA unable to complete Annual Inspection. Annual Continuation Visit to be conducted at a later date.

Exit interview conducted. Copy of report discussed and provided to Assistant Manager. Signature on form confirms receipt of documents.