Facility Evaluation Report

On 10/5/23 at 8:35 a.m. Licensing Program Analyst B.Miranda entered the facility to conduct an unannounced Annual Inspection. LPA met with Administrator Rita Faatuai and explained the reason for the visit.

Upon arrival LPA observed clients arriving to the facility and interacting with staff while preparing for the day. Staff were assisting clients with putting their lunches away and getting into the correct activity rooms.

LPA observed facility to be free from clutter, odor free, and exits to be obstruction free. LPA observed the movie room carpet to be soiled and needing to be cleaned. LPA observed mildew in the toilet located in the women's bathroom.

LPA observed all cleaning supplies in a secured and locked area. AD stated the facility does not have sharps or medication at the facility.

LPA observed fire extinguishers which were last serviced 1/9/23 and are in good standing. Water temperature was checked in the kitchen area and read at 80.6 degrees F. Smoke detectors are wired into the facility and will have annual service completed this month. Carbon monoxide reader was tested and is in good standing.

LPA reviewed a sample of staff files. Staff training verification was not provided at this time.

LPA reviewed a sample of client files which are current and up to date.

Facility has an illness prevent plan in place but needs to be updated to comply with infection control plan. Facility also has to update their disaster plan.

Exit interview was completed and a copy of the report LIC809, LIC809D, and appeal rights were provided to AD Rita Faatuai