Facility Evaluation Report

On 10/24/24 Licensing Program Analyst (LPA) B. Miranda arrived at the facility unannounced to continue and complete the annual inspection. LPA met with Administrator Rita Faatuai.

LPA observe staff and clients interacting with one another. All emergency exits were clear and free from obstruction. LPA observed disaster plan to be completed, but will need to be updated with additional detailed information.

Facility is currently licensed for a capacity of 60 with a current census of 44. Current staff is totaling 15 today, including 1:1 staff needed for clients who require a 1:1 staff support.

LPA observed carbon monoxide detector to be tested and in working condition, fire extinguisher last serviced 2/27/24 in good stand with charge. Medication is not kept at the facility and food is not prepared for client's at the facility.

Regarding physical plant LPA observed the following:

Various electrical wall covers broken throughout the facility

Under the sink needs to be cleaned in lunch room

Movie room have various stains in the carpet

Water temperature was checked in the women's bathroom and lunch room which did not reach a minimum of 105 degrees Fahrenheit.

Administrator was not able to provide verification of staff meeting the required 8 hours of annual training.

Citations issued under Title 22 on LIC809D

Exit interview was conducted and a copy of this reported LIC809, LIC809D, and appeal rights were provided to Administrator Rita Faataui