Facility Evaluation Report

Licensing Program Analysts (LPA) Fernandes-Goes conducted an unannounced Annual 1 yr. Required Infection Control inspection to this facility and was welcome by staff Damaris Snyder. Administrator was contacted by staff an wasn’t able to come, however; lead staff Karen Lewis arrived during the visit. Facility has 5 clients present at this time. Facility has activities for residents during the day.

LPA arrived at the facility and had her temperature checked and logged into visitor’s binder. During facility tour on 9/9/2021 with lead staff Karen Lewis, facility was found to be at a comfortable temperature with all exits free from obstruction. Client’s bedrooms, common areas, garage, kitchen & food storage areas were inspected. Fire Extinguisher was found to be last charged on 5/2021 at the time of the visit. Sample testing of Smoke Detectors & Carbon monoxide detector were operational. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Food stored in the kitchen refrigerator was properly stored as per regulations on this day at the time of the visit. Facility has no residents with special dietary need at this time. Food is available for clients any time of the day. Facility takes clients on outings, and conduct activities during the day. Toxins are stored in a locked closet in the hallway. There was a supply of cleaners, hygiene products and paper products available for residents.

All bathrooms designated for clients at the facility were supplied with towels and hand soap. Bathrooms were equipped with necessary grab bars, and non-slip floors/mats were present in the bathroom shower. A sample tour of client’s bedrooms was conducted, and bedrooms inspected have lighting & appropriate furnishing. Facility hot water temperature at clients' bathroom faucet measured 111.9 degrees F within Title 22 acceptable regulations of 105 to 120 degrees F.